| NPI | 1710382676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNGHEE SONG Dentist 978-774-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN22272) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |