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1 International Pl 7th Floor Boston MA 02110-2602 | |
| (617) 330-8887 | |
| (617) 330-8730 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1 International Pl, Boston, Massachusetts |
| Authorized Official Name and Position | Ching-ju J Chang (OWNER) |
| Authorized Official Contact | 6173308887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 International Pl 7th Floor Boston MA 02110-2602 Ph: (617) 330-8887 | 1 International Pl 7th Floor Boston MA 02110-2602 Ph: (617) 330-8887 |
| NPI Number | 1639437015 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639437015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN19068 (Massachusetts) | Primary |
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