Organization
WOW DENTAL FOR KIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUN YU YOGI CHEN (OWNER)
(508) 904-8670
Entity
Organization
Contact information
Practice address
1077 LEXINGTON ST, WALTHAM, MA 02452-7233
(781) 899-0014
Mailing address
1077 LEXINGTON ST, WALTHAM, MA 02452-7233
(781) 899-0014
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
MA18640
MA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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