| NPI | 1093988362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOROUGH TABATABAI Owner 781-938-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17495) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |