NPI | 1154818359 |
---|---|
Former Legal Business Name | LEXINGTON SMILE STUDIO |
Entity Type | Organization |
Authorized Contact | ALAAEDDIN ALWAZZAN President 617-669-9839 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2018-04-13 |
Last Update Date | 2018-04-13 |