| NPI | 1699502880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHSHID MIRGHASSEMI Owner 978-283-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |