NPI | 1790443554 |
---|---|
Doing Business As | GREENLINE DENTAL |
Entity Type | Organization |
Authorized Contact | MINNA KACHKA Dentist 617-487-8124 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-11-29 |
Last Update Date | 2021-11-29 |