NPI | 1528133675 |
---|---|
Doing Business As | FAMILY DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | LYNN T LEE Practice Manager 781-405-8356 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 16528) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 18893) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2020-08-22 |