NPI | 1588806152 |
---|---|
Entity Type | Organization |
Authorized Contact | AMMAR BASH Dentist /President 781-526-5042 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21135) |
Enumeration Date | 2009-03-29 |
Last Update Date | 2009-03-29 |