| NPI | 1568821361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED M HAMADA IBRAHIM President 857-540-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856178) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |