| NPI | 1144575861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKI MICHAEL MUKDISSI Owner/President 781-828-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19475) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |