| NPI | 1932504552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFFI BAGDASSARIAN President 781-396-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 19338) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |