| NPI | 1144624735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUNIO KWOK-HUNG CHAN Director 617-458-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN21262) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 13403) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |