| NPI | 1205308830 |
|---|---|
| Doing Business As | ELATE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KAVEH BAHARVAND AHMADI Owner Orthodontist 617-699-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |