| NPI | 1134867815 |
|---|---|
| Doing Business As | MEDFORD PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | DANIEL JIANG President 617-803-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |