| NPI | 1710125588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY B. CHANG Dentist 617-623-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21812) |
| Enumeration Date | 2009-02-01 |
| Last Update Date | 2009-02-01 |