NPI | 1164621793 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIANNE J KHALIFE-YAZBECK President 774-688-9226 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21657) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2007-07-13 |