NPI | 1083787055 |
---|---|
Entity Type | Organization |
Authorized Contact | EKBAL H ELKADRY President 617-472-3919 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
1223G0001X Dentist, General Practice | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |