| NPI | 1396051439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMAD ABDALLAH Manager 781-686-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 21655) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |