| NPI | 1871610584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DARIUS DIONNE President 617-378-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 19569) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |