| NPI | 1811352537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATHISH L GOBICHETTYPALAYAM President 781-698-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 22099) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |