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 |