| NPI | 1184084691 |
|---|---|
| Other Name | DENTAL RESTORATIVE GROUP @ BELMONT |
| Entity Type | Organization |
| Authorized Contact | JOHN CHANG Owner 617-489-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |