| NPI | 1508132481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JATINDERJEET SIDHU Dentist 617-515-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN22236) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |