| NPI | 1669055315 |
|---|---|
| Doing Business As | AESTHETIC DENTISTRY OF WICKFORD |
| Entity Type | Organization |
| Authorized Contact | RISHI SHUKLA Authorized Administrator 617-418-6940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |