| NPI | 1871985317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SHAW Director Of Revenue Cycle 781-562-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 20980) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2024-09-17 |