Organization
INTEGRATED ORAL HEALTH, PC
Active
Other names
My Smile Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHEERAJ PAMIDIMUKKALA DMD (PRESIDENT)
(617) 642-9775
Entity
Organization
Contact information
Practice address
270 LITTLETON RD, SUITE 9, WESTFORD, MA 01886-3526
(617) 642-9775
Mailing address
270 LITTLETON RD, SUITE 9, WESTFORD, MA 01886-3526
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1857321
MA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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