| NPI | 1700258126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMYUKTHA SAMPATH President 617-281-8562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855401) |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2015-10-25 |