| NPI | 1669788253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAEED KASHEFI Clinical Director 617-621-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 21249) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |