Individual
MESOU LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-7191
Mailing address
188 LONGWOOD AVE, REB 508, BOSTON, MA 02115-5819
(617) 432-7191
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19943
MA
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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