| NPI | 1902663933 |
|---|---|
| Doing Business As | HATHORNE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KEERTHY REDDY CHILAKAMARRY Owner 781-606-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |