| NPI | 1548655541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HITESH GULAB TOLANI CEO 617-863-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223D0001X Dentist Dental Public Health | |
| 124Q00000X Dental Hygienist | |
| 125J00000X Dental Therapist | |
| 125K00000X Advanced Practice Dental Therapist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2017-03-02 |