| NPI | 1285783761 |
|---|---|
| Doing Business As | RADIANCE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LI-AN SU Owner 781-439-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19847) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |