| NPI | 1841324092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J SCHREIER President 781-659-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 11741) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 19909) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |