| NPI | 1346882982 |
|---|---|
| Doing Business As | ASHLEY PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | CONNOR VAN Dentist/ Owner 617-416-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |