NPI | 1790260982 |
---|---|
Doing Business As | ACE DENTAL BUFFALO |
Entity Type | Organization |
Authorized Contact | SHASHIDHAR RAMCHANDRAREDDY Dentisst 617-820-9291 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-10-03 |
Last Update Date | 2024-04-01 |