| NPI | 1649450552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY CHEN President 978-475-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20548) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |