| NPI | 1871034314 |
|---|---|
| Doing Business As | DENTAL28 |
| Entity Type | Organization |
| Authorized Contact | XINGXUE HARRY HU Director 781-863-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MA DN1857061) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223X2210X Dentist, Orofacial Pain | |
| 125Q00000X Oral Medicine | |
| 146N00000X Emergency Medical Technician, Basic | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2021-10-14 |