| 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 |