NPI | 1821360421 |
---|---|
Doing Business As | ELM PARK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | DONGMEI YANG Officer 508-523-8630 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN20323) |
Enumeration Date | 2012-01-30 |
Last Update Date | 2012-08-26 |