| NPI | 1841545597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNJAN DHIR Director 617-281-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 24348) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |