| NPI | 1508453648 |
|---|---|
| Doing Business As | P&G ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | PRASHANTI BOLLU Orthodontist 617-849-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |