NPI | 1669516993 |
---|---|
Doing Business As | ELM DENTAL |
Entity Type | Organization |
Authorized Contact | YELENA V GUTNICHENKO President 781-899-9530 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
1223P0300X Dentist, Periodontics | |
Enumeration Date | 2007-02-19 |
Last Update Date | 2020-08-22 |