| NPI | 1891019741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN F. DALTON Dentist 781-592-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 12313) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |