| NPI | 1881340982 |
|---|---|
| Doing Business As | CHARLES STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | SARAH LEE Dentist 617-579-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-10-08 |