| NPI | 1962626556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINGJU JENNY CHANG Presdient 508-653-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 19068) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |