| NPI | 1366697245 |
|---|---|
| Doing Business As | HEALTHDRIVE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALEC H. JARET Owner/President 617-964-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2020-01-02 |