| NPI | 1770081606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADARAJAH GANESHKUMAR Dentist 781-296-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 03411) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |