| 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 |