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 |