| NPI | 1982861001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN H ZHANG President 617-325-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 19881) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |