| NPI | 1982872362 |
|---|---|
| Doing Business As | MICROSURGICAL ENDO |
| Entity Type | Organization |
| Authorized Contact | JILL P STAPLETON Office Manager 617-236-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 18594) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |