| NPI | 1518220045 |
|---|---|
| Doing Business As | OG DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | OLIVIA GUO Manager Of P LLC 617-510-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN22256) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |