| NPI | 1750521399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE KYUNGMOOK KHANG Owner 617-576-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 21214) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2012-07-10 |