| NPI | 1861500761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUE THI DINH Dmd/Owner 617-288-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18546) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 19872) |
| 1223G0001X Dentist, General Practice (Licence: MA 21068) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |