| NPI | 1912357336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAR MARIA BALOUL Pediatric Dentist 781-284-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN20603) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |