NPI | 1992003859 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC J MAGIER President 781-455-6226 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16943) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2011-03-02 |