| NPI | 1073756060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDHYA GOLI Owner/Dentist 617-776-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19257) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |