| NPI | 1659739027 |
|---|---|
| Doing Business As | 64 HIGHLAND DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMIR KASOUHA Dentist 508-926-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856170) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1855818) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |