| NPI | 1992203111 |
|---|---|
| Doing Business As | SPROUT KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANDERSON Owner/ Dentist 617-947-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |