Grace Jotika Dmd Pc

LBN: Grace Jotika Dmd Pc
Grace Jotika Dmd Pc is an health care organization with primary practice located at 0 Governors Ave Ste 1 , Medford MA 02155-3035. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Grace Jotika Dmd Pc can be contacted via phone (781) 395-5629, or through Jotikabhukkana, Aupaiporn Grace via phone (617) 304-5019.

Contact Information

Primary practice address
0 Governors Ave Ste 1 Medford MA 02155-3035
Phone: (781) 395-5629
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jotikabhukkana, Aupaiporn Grace Doctor of Dental Medicine (DMD)
Phone: (617) 304-5019

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1558920298
LBN Legal business name Grace Jotika Dmd Pc
DBA Doing business as
Authorized official Jotikabhukkana, Aupaiporn Grace Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2019
Last updated Jun 6th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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