| 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 |