| NPI | 1447551841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDEVI BOPPANA Owner 508-761-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN20318) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |