NPI | 1063118768 |
---|---|
Doing Business As | SA FAMILY DENTIST |
Entity Type | Organization |
Authorized Contact | VAIDEHI MEHTA Director 781-502-8731 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-02-03 |
Last Update Date | 2023-02-03 |