NPI | 1922530898 |
---|---|
Doing Business As | ADVANCED PERIODONTICS AND IMPLANTS |
Entity Type | Organization |
Authorized Contact | WILLIAM S LIGHTFOOT Owner 781-762-9292 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2017-03-30 |
Last Update Date | 2017-03-30 |