| NPI | 1902124878 |
|---|---|
| Doing Business As | ILYA LIVSHIN |
| Entity Type | Organization |
| Authorized Contact | ILYA LIVSHIN Dentist 781-688-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |