| NPI | 1316091184 |
|---|---|
| Doing Business As | PARK AVENUE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GOKULAN THIAGARAJAH President 508-485-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18683) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2022-06-29 |