| NPI | 1164869723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG DING Dentist 508-395-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 1855333) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |