NPI | 1861536856 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL S. HARRINGTON Owner 781-934-8993 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 10976) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 18775) |
1223G0001X Dentist, General Practice (Licence: MA 14908) | |
1223G0001X Dentist, General Practice (Licence: MA 21633) | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2015-07-09 |