| NPI | 1457638421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEYASRI GUNARAJASINGAM Dentist/Owner 617-889-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 21405) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |