| NPI | 1710141734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED JAWAD SHAKARCHI Owner 781-792-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21304) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |