| NPI | 1396104857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOUSSAM ALKHOURY Owner 508-505-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 03377) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2022-02-09 |