| NPI | 1679744668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY ELIZABETH KASPARIAN-FEDERICO Na 781-396-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 19234) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |