| NPI | 1891051066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARSHAD GHOBBEH President 617-388-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA DN21444) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |