| NPI | 1952515181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT RAY DUARTE President 617-547-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 15146) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-10-27 |