| NPI | 1770746372 |
|---|---|
| Doing Business As | ORTHODONTICS AT DAVIS SQUARE |
| Entity Type | Organization |
| Authorized Contact | MOUHAB Z RIZKALLAH Orthodontist 617-591-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20416) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |