| NPI | 1245716620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETA IONTCHEVA-BAREHMI Owner 617-868-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA 20930) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |