Provider Demographics
NPI:1376677583
Name:BOB PAJOOHI DMD PC
Entity Type:Organization
Organization Name:BOB PAJOOHI DMD PC
Other - Org Name:CONGRESS DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-574-8700
Mailing Address - Street 1:160 FEDERAL ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-1700
Mailing Address - Country:US
Mailing Address - Phone:617-574-8700
Mailing Address - Fax:617-574-8702
Practice Address - Street 1:160 FEDERAL ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1700
Practice Address - Country:US
Practice Address - Phone:617-574-8700
Practice Address - Fax:617-574-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty