| NPI | 1447881339 |
|---|---|
| Other Name | PRIME SMILE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MOJGAN RAHIMI Treasurer 781-729-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |