| NPI | 1780045849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ABUHAJLEH Dentist 781-254-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0401412655) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |