NPI | 1891833190 |
---|---|
Entity Type | Organization |
Authorized Contact | NAZILA A BIDABADI Dentist 617-782-9250 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17027) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2012-05-02 |