| NPI | 1417141680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUN-YU YOGI CHEN President 508-281-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA 18640) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |