| NPI | 1073852901 |
|---|---|
| Doing Business As | SOUTH SHORE PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SAMER KHAYAT President 617-416-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1855820) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |