| NPI | 1073299137 |
|---|---|
| Doing Business As | WEST ROXBURY MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FREDERICK LEE Owner 857-353-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |