NPI | 1154722494 |
---|---|
Doing Business As | HIGH STREET DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | BASEL BADAWI President 617-482-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 18691) |
Enumeration Date | 2014-09-05 |
Last Update Date | 2014-09-05 |