| NPI | 1396033932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOON H KANG Manager/Dentist 617-244-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN22133) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-11-01 |