| NPI | 1841541851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL OLIVER JOHNSON President 781-237-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 19187) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |