| NPI | 1508268418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINAY BATTULA Dentist 508-556-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855826) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |