| NPI | 1760770713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOUSSAM ALKHOURY President 508-473-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN20511) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |