| NPI | 1952595027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN K SONG President 617-769-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18858) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |