| NPI | 1346820479 |
|---|---|
| Doing Business As | LEATHER DISTRICT DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHELLE VO Pediatric Dentist 617-306-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |