| NPI | 1881878403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE J MARIANI Periodontist 508-754-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 13361) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |