| NPI | 1245634435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABANA CHAUDHRY President 781-964-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN19564) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2014-10-16 |