| NPI | 1124293402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILA KHALIL Dmd/Owner 508-541-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17797) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 20272) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |