| NPI | 1578823902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRAM JAVEDAN President 617-383-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1855617) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |