| NPI | 1316650906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENKAI KAO CEO 617-939-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 292200000X Dental Laboratory |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2025-12-13 |