| NPI | 1932735123 |
|---|---|
| Other Name | CAMELOT DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAUREEN L COLELLA President 781-337-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |