| NPI | 1285807586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIJELA MEHIC Office Manager 617-437-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 18313) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |