NPI | 1851691000 |
---|---|
Entity Type | Organization |
Authorized Contact | NGUYET M TAU President 508-425-3316 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 21959) |
Enumeration Date | 2010-10-21 |
Last Update Date | 2010-10-21 |