| NPI | 1487005914 |
|---|---|
| Former Legal Business Name | FIRST DENTAL AT STATION LANDING, LLC |
| Entity Type | Organization |
| Authorized Contact | FARSHAD GHOBBEH President 617-388-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN21444) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-29 |