| NPI | 1083868749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARISA SAFAEI Owner 781-599-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20177) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 11064) |
| 1223G0001X Dentist, General Practice (Licence: MA 21835) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |