| NPI | 1912338674 |
|---|---|
| Doing Business As | WILSON DENTAL |
| Entity Type | Organization |
| Authorized Contact | NANARAO KROTHAPALLI Dentist 617-223-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 056567-1) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |