| NPI | 1558120584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIREZA RAJAEI Owner 617-599-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |