| NPI | 1194419093 |
|---|---|
| Doing Business As | CRYSTAL DENTAL FAMILY |
| Entity Type | Organization |
| Authorized Contact | OMAR AL-KAZAZ Dentist 617-990-2143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-07 |