| NPI | 1699256263 |
|---|---|
| Doing Business As | EVERETT CHELSEA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRIS THACH General Manager 617-389-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |