| NPI | 1033294368 |
|---|---|
| Doing Business As | CROWN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NOPSARAN CHAIMATTAYOMPOL Director 617-328-0693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19821) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 11693) |
| 1223P0700X Dentist, Prosthodontics (Licence: MA 20789) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |