NPI | 1437582657 |
---|---|
Doing Business As | LOWELL BRACES |
Entity Type | Organization |
Authorized Contact | HOUSSAM ALKHOURY Manager 508-505-5040 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA DN20511) |
Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: MA DN20511) |
Enumeration Date | 2013-08-12 |
Last Update Date | 2013-08-12 |