| NPI | 1659194793 |
|---|---|
| Doing Business As | STAR SMILES OF AUBREY |
| Entity Type | Organization |
| Authorized Contact | VAMSHIDER REDDY KYATAM Owner Dentist 617-417-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |