| NPI | 1972287332 |
|---|---|
| Doing Business As | WELLBORN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HONGYING PAN Owner 617-806-6652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |