| NPI | 1972735793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI RAHMATPOUR Owner 617-567-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19757) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |