| NPI | 1700387453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDANA SONI President 617-501-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN20698) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN21051) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN21679) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2020-02-20 |