| NPI | 1528346939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMA NANDURI JONNAVITHULA Owner 978-266-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19346) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |