| NPI | 1245960491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIELL POSTELL Founder 781-913-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2023-01-04 |