| NPI | 1255808408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA ESSHAKI Orthodontist 978-922-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |