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 |