| NPI | 1477003903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH KIM Owner, President 617-388-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN22315) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |