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Organization
EAST END DENTAL WELLNESS PC
Active
Organization
EAST END DENTAL WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOON JAE KIM DMD (PRESIDENT)
(617) 955-9887
Entity
Organization
Contact information
Practice address
165 BELMONT ST STE A, SOUTH EASTON, MA 02375-1952
(508) 230-0048
Mailing address
165 BELMONT ST STE A, SOUTH EASTON, MA 02375-1952
(508) 230-0048
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1855295
MA
Other
Enumeration date
09/18/2014
Last updated
08/29/2022
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