NPI | 1619072402 |
---|---|
Doing Business As | WESTBOROUGH ORAL & MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | KHALED CHARLES ZOHNI Dentist 508-366-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15469) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 19841) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 19353) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-08-22 |