| NPI | 1023586062 |
|---|---|
| Former Legal Business Name | NEW ENGLAND DENTAL GROUP |
| Doing Business As | NEW ENGLAND DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GOKULAN THIAGARAJAH Director/Owner 508-962-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-06-29 |