| NPI | 1861625857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE MARKOVICH President/Orthodontist 508-548-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 21381) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |