| NPI | 1619158474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEDA SHAH-HOSSEINI Owner 617-734-9360 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: MA 18802) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2009-11-18 |