NPI | 1821438144 |
---|---|
Entity Type | Organization |
Authorized Contact | VANDANA SONI Managing Member 617-501-7773 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA DN20698) |
Enumeration Date | 2013-07-01 |
Last Update Date | 2015-01-21 |