| NPI | 1982185880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAN WOOK CHEONG President 617-901-0693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1855564) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |