| NPI | 1912238379 |
|---|---|
| Doing Business As | MARLBOROUGH FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | RONALD COHEN Practice Administrator 617-625-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |