| NPI | 1043475940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE Y CHUN Office Manager 617-913-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: MA DN2191520A) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2016-05-07 |