| NPI | 1346622529 |
|---|---|
| Doing Business As | PRUDENTIAL DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | HAMASAT GHEDDAF DAM President/Owner 617-267-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1856379) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |