| NPI | 1083787055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKBAL H ELKADRY President 617-472-3919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223E0200X Dentist, Endodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-09-11 |