| NPI | 1851602445 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | SANDHYA GOLI Dmd/Owner 781-933-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19257) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |