| NPI | 1912166141 |
|---|---|
| Doing Business As | NORTHGATE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | FARDAD MOBED Owner 781-289-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA 18187) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 18187) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |