| NPI | 1841670262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAHID MISTIKAWI Owner/Doctor 508-339-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN17639) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |