Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 31343 | TX |
NPI | 1063827731 |
---|---|
Provider Name | Dr. Sheetal Ramesh Asher |
First Address | Boston, MA 02115-5819 |
Second Address | Boston, MA 02115-5819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2014 |
Last Update Date | 03/08/2021 |