| NPI | 1912603598 |
|---|---|
| Former Legal Business Name | KENDALL SQUARE DENTAL STUDIO PLLC |
| Entity Type | Organization |
| Authorized Contact | JANS GANDUL CABRERA General Dentist 786-354-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |