Organization
ROUTE 9 DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMITA AGARWAL DDS (OWNER)
(617) 612-5022
Entity
Organization
Contact information
Practice address
25 BOYLSTON ST STE L15, CHESTNUT HILL, MA 02467-1715
(617) 612-5022
Mailing address
28 ELIOT ST, CHESTNUT HILL, MA 02467-1408
(617) 612-5022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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