| NPI | 1851589899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN PAN Dentist /Owner 617-834-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 03618) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |