| NPI | 1568855674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYANK TANEJA President 617-304-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN21704) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2020-02-26 |