| NPI | 1720573561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANARAO KROTHAPALLI Dentist/ Owner 617-223-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA 20845) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |