| NPI | 1033343074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BICH-HA PAULINE NGUYEN CEO/Dentist 617-934-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN 19081-1) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |