| NPI | 1699227280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREMAL PATEL President 978-954-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1855311) |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2016-10-29 |