NPI | 1225581788 |
---|---|
Doing Business As | WINTER ST FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | FARSHAD PEZESHKI Manager 781-769-4473 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 20559) |
Enumeration Date | 2016-08-01 |
Last Update Date | 2016-08-01 |