NPI | 1043774573 |
---|---|
Entity Type | Organization |
Authorized Contact | HOUSSAM ALKHOURY Owner 508-529-8270 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Additional Taxonomies | 1223G0001X Dentist General Practice |
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2019-01-29 |
Last Update Date | 2023-03-13 |