| NPI | 1508802588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WANG President 978-688-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 20540) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 19996) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-01-22 |