Provider Demographics
NPI:1730655929
Name:WESTBOROUGH DENTISTREE
Entity Type:Organization
Organization Name:WESTBOROUGH DENTISTREE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJSHREE
Authorized Official - Middle Name:RANJIT
Authorized Official - Last Name:MULAY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-963-8383
Mailing Address - Street 1:69 MILK ST STE 99
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1227
Mailing Address - Country:US
Mailing Address - Phone:508-963-8383
Mailing Address - Fax:
Practice Address - Street 1:69 MILK ST STE 99
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1227
Practice Address - Country:US
Practice Address - Phone:508-963-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental