| NPI | 1710013172 |
|---|---|
| Doing Business As | FRED G. BOUSTANY D.M.D.,PC |
| Entity Type | Organization |
| Authorized Contact | FRED G. BOUSTANY President 617-338-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15733) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |