Organization
SIMPLY ORTHODONTICS & PEDIATRICS OF RANDOLPH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOUSSAM ALKHOURY DMD (OWNER)
(508) 589-8270
Entity
Organization
Contact information
Practice address
15 WARREN ST, RANDOLPH, MA 02368-4015
(781) 767-7200
Mailing address
87 ELM ST, HOPKINTON, MA 01748-1638
(508) 686-7220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
09/27/2023
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