| NPI | 1760653810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM AL-KHATEEB Owner 617-859-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19746) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |