| NPI | 1477268852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANUPRIYA TEWARI Owner 617-388-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |