| NPI | 1972273092 |
|---|---|
| Doing Business As | MANCHESTER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUMAN REDDIVARI Dentist/ Manager/ Owner 781-552-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |