| Wellington Circle Dental Pc | |
|
616 Fellsway Ste 2 Medford MA 02155-4957 | |
| (781) 306-9644 | |
| (781) 306-9726 |
| Full Name | Wellington Circle Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 616 Fellsway Ste 2, Medford, Massachusetts |
| Authorized Official Name and Position | Jungwoo Lee (PRESIDENT) |
| Authorized Official Contact | 6173089633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellington Circle Dental Pc 616 Fellsway Ste 2 Medford MA 02155-4957 Ph: (781) 306-9644 | Wellington Circle Dental Pc 616 Fellsway Ste 2 Medford MA 02155-4957 Ph: (781) 306-9644 |
| NPI Number | 1568690808 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568690808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20719 (Massachusetts) | Primary |
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