| 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 |