| NPI | 1073200820 |
|---|---|
| Former Legal Business Name | HARRIS DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DANIEL DONGKYU LEE Manager 617-519-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |