| Jeonglee Dmdpc Inc | |
|
452 Pleasant St #110 Malden MA 02148-8117 | |
| (781) 322-4914 | |
| Not Available |
| Full Name | Jeonglee Dmdpc Inc |
|---|---|
| Speciality | Dentist |
| Location | 452 Pleasant St, Malden, Massachusetts |
| Authorized Official Name and Position | Jeong Sook Lee (DENTIST) |
| Authorized Official Contact | 7813224914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeonglee Dmdpc Inc 452 Pleasant St #110 Malden MA 02148-8117 Ph: () - | Jeonglee Dmdpc Inc 452 Pleasant St #110 Malden MA 02148-8117 Ph: (781) 322-4914 |
| NPI Number | 1245603836 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245603836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1855209 (Massachusetts) | Primary |
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