| NPI | 1588781587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS KHALIL BADRAN Dentist 781-335-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19228) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |