| NPI | 1841308327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J SALUSTI Owner 617-924-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15144) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 19089) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2020-08-22 |