| NPI | 1033567144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN KIM President 617-361-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856147) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-10-05 |