| NPI | 1013567775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOUSSAM ALKHOURY President/Owner 508-589-2862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2020-08-07 |