| NPI | 1396061321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDHI GEHLOT Dentist 978-521-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 1855160) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |