NPI | 1174690226 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMAD SHURBAJI President 781-331-1181 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 19059) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2006-11-30 |
Last Update Date | 2025-05-01 |