NPI | 1518534353 |
---|---|
Doing Business As | PRIME DENTAL |
Entity Type | Organization |
Authorized Contact | SANG JIN LEE Dentist/Owner 781-726-7788 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-06-09 |
Last Update Date | 2021-06-09 |