Organization
JNL DENTAL TWO
Active
Other names
Affordable Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE YONG JUNG (CO-OWNER)
(347) 558-2076
Entity
Organization
Contact information
Practice address
1168 LAKEVIEW AVE STE 3, DRACUT, MA 01826-4763
(978) 957-7009
Mailing address
1168 LAKEVIEW AVE STE 3, DRACUT, MA 01826-4763
(978) 957-7009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857532
MA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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