| NPI | 1043645336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATHISH L GOBICHETTYPALAYAM President 617-980-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MA 22099) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2026-02-25 |