| NPI | 1093158420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAILA PASHA President 617-625-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN21014) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |