| NPI | 1457885766 |
|---|---|
| Doing Business As | PLEASANT ST DENTAL |
| Entity Type | Organization |
| Authorized Contact | SARAH E RICHARDSON Sole Member/Owner 617-484-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-26 |