| NPI | 1619322724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHRAF ADAM Dentist Owner 774-232-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413742) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |