| NPI | 1942514195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED H BUTT President 781-837-1961 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 18051) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 18051) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |