| NPI | 1811163413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRNAZ MAGHSOUDLOO Owner 978-453-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21490) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |