| NPI | 1336413632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONG WON KIM President 978-744-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21536) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |