| NPI | 1063860849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOUSSAM ALKHOURY President 508-589-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 03377) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2023-03-13 |