NPI | 1306210562 |
---|---|
Entity Type | Organization |
Authorized Contact | AHMED EL SAMRA Owner 978-582-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN20146) |
Enumeration Date | 2015-11-25 |
Last Update Date | 2015-11-25 |