| NPI | 1225303811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN ANN ANJOMI Dentist 617-312-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA MA20543) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |