| NPI | 1831733393 |
|---|---|
| Doing Business As | ADDISON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ADRIAN DE VINCENZO Owner 617-756-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |