| NPI | 1891835609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E DIPIETRO President 781-284-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17030) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 14813) |
| 1223G0001X Dentist, General Practice (Licence: MA 18404) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |