| NPI | 1366021651 |
|---|---|
| Former Legal Business Name | KACELI DENTAL STUDIO, LLC |
| Entity Type | Organization |
| Authorized Contact | MONIKA KACELI Owner/Dentist 781-762-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |