| NPI | 1699824433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WEI WANG President 978-266-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 19996) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 20540) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-05-16 |