NPI | 1942610597 |
---|---|
Entity Type | Organization |
Authorized Contact | SATHVIK BEGUR SESHADRI President 617-922-9310 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN1856007) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN185722) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2014-05-05 |