| NPI | 1043635642 |
|---|---|
| Doing Business As | CANTON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LI WANG Member 781-575-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 21577) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 22167) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2016-08-02 |