| NPI | 1164714481 |
|---|---|
| Doing Business As | OMNIDENTIX |
| Entity Type | Organization |
| Authorized Contact | CHONG S LEE Owner 508-807-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 18866) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2020-02-03 |