Individual
DR. TIEN MONG HA-NGOC JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MED
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN1857716
MA
Other
Enumeration date
08/04/2017
Last updated
03/16/2018
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