| NPI | 1467820167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNJAN DHIR Owner Dentist 617-281-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30505) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-10-07 |