| NPI | 1396112637 |
|---|---|
| Doing Business As | DENTAL RESTORATIVE GROUP @ CAMBRIDGE |
| Entity Type | Organization |
| Authorized Contact | JOHN H CHANG President 617-489-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |