NPI | 1831766211 |
---|---|
Entity Type | Organization |
Authorized Contact | HUBERT J PARK President 617-895-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-06-05 |
Last Update Date | 2021-06-05 |