| NPI | 1619497955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAR BALOUL Pediatric Dentist 508-578-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN20603) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |