| NPI | 1083774079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIN F MONTAZERI Dentist 781-646-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19011) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 19788) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |