| NPI | 1053010504 |
|---|---|
| Doing Business As | CHARLES RIVER ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | NINA KHEDKAR Owner/Doctor 617-953-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |