| NPI | 1558617118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARATHAN KUMARAGURU Dentist 617-407-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 21243) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-10-02 |