| NPI | 1144701020 |
|---|---|
| Other Name | 41 STATE RD LLC |
| Entity Type | Organization |
| Authorized Contact | NACINYE GUZIN UZEL Owner / Periodontist 508-993-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA DN1856413) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |