| NPI | 1861986119 |
|---|---|
| Former Legal Business Name | CONCORD-ACTON DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK Y WANG President 978-263-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |