| NPI | 1376731133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMAR F FARRA Owner/Dentist 781-245-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 19055) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |