| NPI | 1497820443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOANE NGUYEN President 978-459-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17813) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |