| 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 |