NPI | 1518269810 |
---|---|
Entity Type | Organization |
Authorized Contact | MARHAMA ALVI-SHAH Owner 617-625-0543 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
124Q00000X Dental Hygienist | |
Enumeration Date | 2010-11-19 |
Last Update Date | 2010-11-19 |