| 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 |