| NPI | 1922265339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA MORELL President 978-682-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA 19598) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |