NPI | 1689605560 |
---|---|
Doing Business As | HEALTHDRIVE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | ALEC H. JARET Owner/President 617-964-6681 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-07-06 |
Last Update Date | 2019-12-31 |