NPI | 1730398082 |
---|---|
Doing Business As | STETSON DENTAL CARE |
Entity Type | Organization |
Authorized Contact | PEYMAN KHADIVI Dentist 781-335-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 18609) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |