| NPI | 1598193971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JATINDERJEET SIDHU Doctor 781-297-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN22236) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |