| NPI | 1649543554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUHAB RIZKALLAH President 617-872-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |