| NPI | 1154743672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEYASRI GUNARAJASINGAM President 617-922-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17100) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |