| NPI | 1396062246 |
|---|---|
| Doing Business As | MGH DENTAL GROUP - DANVERS |
| Entity Type | Organization |
| Authorized Contact | AGNES LAU Chief, Mgh Division Of Dentistry 617-726-1076 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 16139) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |