| NPI | 1720790991 |
|---|---|
| Doing Business As | TENTH STREET FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SRINIVAS DURSHANAPALLI President 203-215-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |