| NPI | 1922455542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUN YU YOGI CHEN Owner 508-904-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA MA18640) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |