NPI | 1417204884 |
---|---|
Doing Business As | LUX DENTAL FOR KIDS |
Entity Type | Organization |
Authorized Contact | ABDULLAIBRAHIM ABDULWAHEED President 781-558-5092 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 20827) |
Enumeration Date | 2012-08-04 |
Last Update Date | 2013-06-27 |