| NPI | 1033419668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS JOO President 781-963-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN20544) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |