| NPI | 1720158942 |
|---|---|
| Doing Business As | COSMETIC DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RAMESH IZEDIAN Owner 781-662-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 18174) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 18767) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |