NPI | 1013219476 |
---|---|
Entity Type | Organization |
Authorized Contact | KARIM E BERTY President 978-470-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MA DN-21685) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2011-06-27 |