| NPI | 1326521139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHRA BAGHERI CEO 781-535-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223D0001X Dentist, Dental Public Health | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 122400000X Denturist | |
| 124Q00000X Dental Hygienist | |
| 125J00000X Dental Therapist | |
| 125K00000X Advanced Practice Dental Therapist | |
| 126800000X Dental Assistant | |
| 126900000X Dental Laboratory Technician | |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2018-09-09 |