| NPI | 1194088096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA O KOMAROVSKAYA General Dentist/Owner 781-245-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN21849) |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2012-08-27 |