| NPI | 1396250015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR SALEM Owner 508-588-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 21358) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |