| NPI | 1275153173 |
|---|---|
| Doing Business As | MILLIS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ZAKI MUKDISSI President 617-386-9834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |