| NPI | 1861654691 |
|---|---|
| Doing Business As | KAPPA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GHASSAN A KHOURY President 617-666-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 20411) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 20622) |
| 122300000X Dentist (Licence: MA 20871) | |
| 1223E0200X Dentist, Endodontics (Licence: MA 20377) | |
| 1223P0300X Dentist, Periodontics (Licence: MA 21922) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |