| NPI | 1699864595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON CHEN President 508-872-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 18978) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NH 3042) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |