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 |