| Assembly Dental Pc | |
|
460 Foley St Somerville MA 02145-1213 | |
| (617) 901-0693 | |
| Not Available |
| Full Name | Assembly Dental Pc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 460 Foley St, Somerville, Massachusetts |
| Authorized Official Name and Position | Chan Wook Cheong (PRESIDENT) |
| Authorized Official Contact | 6179010693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assembly Dental Pc 375 Canal St Ph 210 Somerville MA 02145-4346 Ph: (617) 901-0693 | Assembly Dental Pc 460 Foley St Somerville MA 02145-1213 Ph: (617) 901-0693 |
| NPI Number | 1982185880 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982185880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DN1855564 (Massachusetts) | Primary |
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