| NPI | 1114533866 |
|---|---|
| Doing Business As | COMMONWEALTH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KOSTANTINA TINA GIANNACOPOULOS Dental Director 617-266-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2024-10-27 |