Organization
SIMPLY ORTHODONTICS AND PEDIATRICS FITCHBURG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSSAM ALKHOURY DMD (OWNER)
(508) 589-8270
Entity
Organization
Contact information
Practice address
50 WHALON ST STE 1, FITCHBURG, MA 01420
(508) 589-8270
Mailing address
87 ELM ST STE 302, HOPKINTON, MA 01748-1638
(508) 589-8270
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN20511
MA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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