| NPI | 1982145033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINAL S NARAYAN President 617-980-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA DN1856368) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |