| NPI | 1871790170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LOMBARDI Office Manger 781-235-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 12914) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |