| 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 |