Organization
SIMPLY ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOUSSAM ALKHOURY DMD (PRESIDENT)
(508) 757-3173
Entity
Organization
Contact information
Practice address
24 PUTNAM PIKE, DAYVILLE, CT 06241-1608
(508) 757-3173
Mailing address
70 ELM ST, WORCESTER, MA 01609-2300
(508) 757-3173
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011318
CT
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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