| NPI | 1821274044 |
|---|---|
| Doing Business As | TMD AND PERIODONTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | IRINA DERESH President 617-536-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 17846) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |