| NPI | 1710009477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY WU President Dentist 781-894-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 19491) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |