| 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 |