| NPI | 1902313570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LINDHOLM GROFF Owner/Pediatric Dentist 781-312-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 1855698) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |