NPI | 1831534841 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENN ANDREW BRANCA President 781-934-1801 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2013-05-03 |
Last Update Date | 2013-05-03 |