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 |