Individual
DR. MIN JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
75 SAINT ALPHONSUS ST APT 1808, BOSTON, MA 02120-1690
(818) 649-4657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858816
MA
Other
Enumeration date
07/19/2020
Last updated
10/02/2020
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