| NPI | 1801100136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AI-PHUONG PHAM President 617-698-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN21661) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |