| NPI | 1861130510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA TORRES CEO/Owner 978-595-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-09-14 |