| NPI | 1932533916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FRANCIS SHAUGHNESSY President/Pediatric Dentist 617-834-4573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN21638) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |