| NPI | 1699235457 |
|---|---|
| Former Legal Business Name | SHREWSBURY DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | TONY HAOYU TONG Dentist 617-888-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |