| NPI | 1912306135 |
|---|---|
| Doing Business As | COMMON PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUSAN M GIAIMO Manager 617-291-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21851) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-11-02 |