NPI | 1922101542 |
---|---|
Doing Business As | HOLLISTON FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | BHAVANI D SRIRAMANENI President 508-346-3161 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19322) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2020-08-22 |