Grace Jotika Dmd PC

NPI #1558920298 in Medford, Massachusetts

Provider Information

NPI Number: 1558920298
Entity Type: Organization
Organization Name: Grace Jotika Dmd PC
Primary Specialty: Dentist
Enumeration Date: Jun 6, 2019
Last Updated: Jun 6, 2019

Practice Location

Address: 0 GOVERNORS AVE STE 1
City: Medford
State: Massachusetts
ZIP Code: 02155-3035
Phone: (781) 395-5629

Authorized Official

Name: DR. AUPAIPORN GRACE JOTIKABHUKKANA, DMD
Title: OWNER
Phone: (617) 304-5019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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