NPI | 1215054598 |
---|---|
Doing Business As | YOUR DENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | JOHN J. SULLIVAN Business Owner 413-572-9665 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16639) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2020-08-22 |