| NPI | 1922355437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FURROW President 617-869-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25126) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |