NPI | 1265583199 |
---|---|
Doing Business As | MGH DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | AGNES LAU Director, Mgh Dental Group 617-726-1076 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 16139) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-08-22 |