| NPI | 1487712675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOUCH DARVISH President 508-756-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 1053411798) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |