| NPI | 1861155491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SUNG Owner Dentist 617-444-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2022-11-07 |