NPI | 1366692824 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH YAT SING NG President 617-338-0833 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 17958) |
Enumeration Date | 2008-09-22 |
Last Update Date | 2008-09-22 |