| NPI | 1336792977 |
|---|---|
| Other Name | DETAIL DENTAL, LLC |
| Former Legal Business Name | DETAIL DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRIS CHRISLER Owner 617-617-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-11-20 |