| NPI | 1427484062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY SANGGUOT HUA Owner 781-340-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1855205) |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2013-09-15 |