| NPI | 1992714109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC B EHRLICH President 617-566-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 155321) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MA 79811) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-11 |