| NPI | 1710587431 |
|---|---|
| Doing Business As | MYSA DENTAL |
| Entity Type | Organization |
| Authorized Contact | KHUSHBU MALHOTRA Dentist 617-834-4646 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2023-05-15 |