NPI | 1881814473 |
---|---|
Doing Business As | COMMUNITY DENTISTS OF QUINCY |
Entity Type | Organization |
Authorized Contact | I-HAN LIU President 617-472-7499 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17842) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 18625) |
1223P0300X Dentist, Periodontics (Licence: MA 17629) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |