| NPI | 1659302065 |
|---|---|
| Doing Business As | HEALTHDRIVE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALEC H. JARET Owner/President 617-964-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-12-31 |