| NPI | 1891178133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CARMINE VARALLO Owner/Orthodontist 781-648-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |