| NPI | 1316363070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYMAN SHOKOOHI President 978-521-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA dn21772) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |