NPI | 1891331468 |
---|---|
Entity Type | Organization |
Authorized Contact | HOUSSAM ALKHOURY Owner 508-505-5040 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-11-19 |
Last Update Date | 2023-03-13 |