NPI | 1831210525 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN MELITA Owner 617-484-3260 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2007-04-02 |
Last Update Date | 2017-01-06 |