Individual
DR. NINA MI HYUN OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1201 MAIN ST, TEWKSBURY, MA 01876-4774
(978) 851-2621
Mailing address
4 SELFRIDGE RD, BEDFORD, MA 01730-2021
(617) 529-5928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1855978
MA
1223G0001X
General Practice Dentistry
Primary
DN1855978
MA
Other
Enumeration date
08/14/2012
Last updated
04/29/2020
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