| NPI | 1831513720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATHISH L GOBICHETTYPALAYAM President 617-980-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA MA22099) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |