| NPI | 1477669562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WON H BAE Partner 508-485-2278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 11783) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 19091) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |