| NPI | 1720180151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKI M MUKDISSI President 781-306-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19475) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |