| NPI | 1831326255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY ELLEN GURIN Dentist 617-698-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19230) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |