| NPI | 1396507588 |
|---|---|
| Doing Business As | BURWOOD VILLAGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ISHTIAQ ROUF Manager 617-817-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |