PRASHANSA GAUTAM

BOSTON, MA
NPI1700636651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
PRASHANSA GAUTAM
50 S HUNTINGTON AVE
BOSTON, MA 02130-4713
Phone number: 617-232-9500
Mailing Address
PRASHANSA GAUTAM
22 COLLEGE DR
STONY BROOK, NY 11790-2724
Phone number: 631-624-5914
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