| NPI | 1184002180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGUYET MINH TAU Dentist/Owner 508-864-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA 21959) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |