| NPI | 1497911812 |
|---|---|
| Doing Business As | BOSTON DENTAL |
| Entity Type | Organization |
| Authorized Contact | GLENN JUSTICE Dds 702-304-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2019-01-25 |