| NPI | 1265182281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARISA SHOKRI SOLTANABADI Owner 617-676-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-05-04 |