| NPI | 1891462420 |
|---|---|
| Doing Business As | CITIDENTAL WEST ROXBURY |
| Entity Type | Organization |
| Authorized Contact | LINA BADAWI Manager 617-817-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |