NPI | 1992003644 |
---|---|
Entity Type | Organization |
Authorized Contact | MENG-CHIEH LEE President 617-383-4197 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 21714) |
Enumeration Date | 2011-03-04 |
Last Update Date | 2011-03-04 |