| NPI | 1659812899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARANEH NAGHIEH President/Owner 617-484-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA 18186) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |