| NPI | 1134331424 |
|---|---|
| Doing Business As | ICON DENTAL |
| Entity Type | Organization |
| Authorized Contact | HYUNG-JUNG AHN Owner/Director 781-861-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-09-12 |