| NPI | 1972949279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MICHAEL JUVET President 781-331-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: MA 20468) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |