| NPI | 1689007908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHANASIOS ZAVRAS President 617-818-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1855922) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MA DN1855922) |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2013-08-11 |