| NPI | 1831205251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F.X. SPAGNUOLO Owner 617-323-0449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 10672) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 18240) |
| 122300000X Dentist (Licence: MA 20288) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |