| NPI | 1053585869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM AL-KHATEEB Dentist (Owner) 617-571-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 18504) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2019-09-18 |