NPI | 1790016368 |
---|---|
Doing Business As | FOREST HILLS DENTAL |
Entity Type | Organization |
Authorized Contact | FIDELITO GABRIEL President 617-763-9351 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21464) |
Enumeration Date | 2010-01-21 |
Last Update Date | 2010-01-21 |