| NPI | 1740061613 |
|---|---|
| Doing Business As | SOMERVILLE PEDIATRIC DENTISTRY PC |
| Entity Type | Organization |
| Authorized Contact | LEE W THACH Pediatric Dentist 617-227-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |