NPI | 1831416767 |
---|---|
Doing Business As | DENTAL BRIGHT ADVANCED FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | DARIO GONZALEZ Vice President/Periodontist 617-519-6199 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN22028) |
Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: MA DN22028) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2010-05-03 |