| NPI | 1033521455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK Y WANG President 978-369-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 18977) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |