| NPI | 1396118337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENPAN HU President 617-319-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 27439) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 25977) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |