| NPI | 1922499730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT AUGUSTUS COOMBS Dentist/Owner 617-828-6512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1001057) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |