NPI | 1932384724 |
---|---|
Entity Type | Organization |
Authorized Contact | SUJATHA LAKSHMI REVUR Family Dentist 508-393-3029 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19824) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2007-12-31 |