| NPI | 1033308556 |
|---|---|
| Doing Business As | HEALTHDRIVE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALEC JARET Owner/President 617-964-6681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2019-12-31 |