| NPI | 1396070371 |
|---|---|
| Doing Business As | PRUDENTIAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALEX ADELI Director 617-482-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 20677) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-11-04 |