| NPI | 1053803825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHANASIOS ZAVRAS President 617-818-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: RI DEN03342) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |