NPI | 1184051153 |
---|---|
Doing Business As | THE BRACES PLACE OF LOWELL |
Entity Type | Organization |
Authorized Contact | MOUHAB RIZKALLAH Owner 617-591-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 20416) |
Enumeration Date | 2013-10-04 |
Last Update Date | 2013-10-04 |