NPI | 1366690554 |
---|---|
Entity Type | Organization |
Authorized Contact | TONY S WOO Owner 781-306-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: MA 18947) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2008-09-03 |