| NPI | 1518117837 |
|---|---|
| Doing Business As | PARK STREET DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KASIA SZARY Owner 617-426-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21422) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 21422) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |