| NPI | 1184807380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARD PEYSAKHOV Dentist/Owner 978-459-6467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19639) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-06-24 |