| NPI | 1740564418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHEEN ISHAQ President 774-258-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN22339) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |