| NPI | 1962071100 |
|---|---|
| Doing Business As | LONGWOOD DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SABRINA OLIVERO Team Lead 617-566-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |