| NPI | 1376830661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOGITA S KANORWALLA Owner 508-221-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN20652) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |