| NPI | 1699149385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN ABOUSHALA Endodontist/Owner 781-632-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN21580) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |