| NPI | 1831358985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BADRIEH EDALATPOUR Dmd 781-438-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA 19756) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |