| NPI | 1861652067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE S LEE Orthodontist 508-875-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |