| NPI | 1205269073 |
|---|---|
| Doing Business As | FOR ALL AGES FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROULA GIANNOS President 617-905-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN21173) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |