| NPI | 1932790789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN LIU President 617-291-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |