| NPI | 1841680196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDANA SONI Manager 617-501-7773 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA DN20698) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |