Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 113109 | MA |
NPI | 1063593994 |
---|---|
Provider Name | Dr. Salvatore Francis Vinci |
First Address | Dedham, MA 02026-4309 |
Second Address | Norwood, MA 02062-6612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |