| NPI | 1467557496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKHTAR GERARD KHAN Owner 978-667-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18352) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-05-10 |