| NPI | 1851323943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BERKO Owner 978-263-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 13738) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |