NPI | 1740045699 |
---|---|
Doing Business As | RUSSELL HILL DENTAL |
Entity Type | Organization |
Authorized Contact | MIGUEL VIDAL Owner 781-729-5041 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-02-20 |