| NPI | 1417298472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIREZA OMID RAJAEI President 617-599-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 13854) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2022-10-18 |