| NPI | 1447752563 |
|---|---|
| Doing Business As | PARKSIDE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KRISTEN DORITY President 617-426-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA DN20595) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |