| NPI | 1871743187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD W. SMITH Dentist 617-492-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA 12016) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |