| NPI | 1770893406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANARAO KROTHAPALLI President 617-223-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 3380) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |