| NPI | 1972968030 |
|---|---|
| Other Name | SOUTHLAND PLAZA DENTAL |
| Entity Type | Organization |
| Authorized Contact | CLAUDIA LE President 617-453-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 64870) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |