| NPI | 1063568277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEI-CHING CHIU President 781-559-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20251) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2008-05-16 |