| NPI | 1477742575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC JEFFREY KAHN Owner 781-444-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 014857) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |