| NPI | 1164690707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRIN SHAHRIAR President 617-332-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18682) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |