NPI | 1881024545 |
---|---|
Doing Business As | BLUE HILLS DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JACK SSU-CHIEH LEE Owner 617-953-1824 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MA DN1855439) |
Enumeration Date | 2013-11-16 |
Last Update Date | 2013-11-16 |