| NPI | 1730336512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOUSSAM ALKHOURY President 508-429-7800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA MA20511) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |