| NPI | 1811901473 |
|---|---|
| Doing Business As | SOMERVILLE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MOHAMED HANIF BUTT President 617-625-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 18051) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 18051) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |