| NPI | 1912713959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMAN GHAFARIAN Owner 617-600-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |