| NPI | 1457863953 |
|---|---|
| Former Legal Business Name | TLC DENTAL OF MEDFORD |
| Entity Type | Organization |
| Authorized Contact | ANNA GANOPOLSKY Owner 781-393-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN19618) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-26 |