| NPI | 1740877877 |
|---|---|
| Doing Business As | SA FAMILY DENTIST |
| Entity Type | Organization |
| Authorized Contact | VAIDEHI MEHTA Managing Partner 781-502-8731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-30 |