| NPI | 1932790987 |
|---|---|
| Doing Business As | POTRANCO FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUMEET SHARMA Dentist 617-913-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |