| NPI | 1861856353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI RAHMATPOUR Owner 617-913-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN19757) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |