| NPI | 1578436093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT ZEBOUNI Sole Member 617-595-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-10-03 |