NPI | 1962414748 |
---|---|
Entity Type | Organization |
Authorized Contact | GARRETT K PISKOR Owner 617-547-4958 |
Organization Subpart ? | No |
Primary Taxonomy | 126900000X Dental Laboratory Technician (Licence: MA 15316) |
Additional Taxonomies | 126900000X Dental Laboratory Technician (Licence: MA 12217) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2013-01-14 |