| NPI | 1659618957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETA PUTHALPET Dentist 617-834-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN21373) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |