| NPI | 1548418460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR SALEM Owner/President 781-784-6464 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 21358) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |