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921 Massachusetts Avenue Cambridge MA 02139 | |
| (617) 492-8210 | |
| (617) 876-7390 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 921 Massachusetts Avenue, Cambridge, Massachusetts |
| Authorized Official Name and Position | Carol K Yun (PRESIDENT) |
| Authorized Official Contact | 6174928210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
921 Massachusetts Avenue Cambridge MA 02139 Ph: (617) 492-8210 | 921 Massachusetts Avenue Cambridge MA 02139 Ph: (617) 492-8210 |
| NPI Number | 1073680039 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073680039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17123 (Massachusetts) | Primary |
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