| NPI | 1689529380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANTI BOLLU Owner/Doctor 617-849-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-02-27 |
| Last Update Date | 2026-02-27 |