| NPI | 1205474202 |
|---|---|
| Doing Business As | ATHENA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DEEPAK BALANI Owner 781-999-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |