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Organization

SIMPLY ORTHODONTICS AND PEDIATRICS CLINTON, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOUSSAM ALKHOURY DMD (OWNER)
(508) 505-5040
Entity
Organization

Contact information

Practice address
200 HIGH ST, CLINTON, MA 01510-2556
(508) 589-8262
Mailing address
87 ELM ST, HOPKINTON, MA 01748-1638
(508) 589-8262

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223G0001X
General Practice Dentistry
1223P0221X
Pediatric Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
12/04/2019
Last updated
12/04/2019
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