Organization
NOPSARAN CHAIMATTAYOMPOL, DMD, PC
Active
Other names
Crown Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOPSARAN CHAIMATTAYOMPOL DMD (DIRECTOR)
(617) 328-0693
Entity
Organization
Contact information
Practice address
500 CONGRESS ST, SUITE#3E, QUINCY, MA 02169-0908
(617) 328-0693
(617) 328-0694
Mailing address
500 CONGRESS ST, SUITE#3E, QUINCY, MA 02169-0908
(617) 328-0693
(617) 328-0694
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11693
MA
1223G0001X
General Practice Dentistry
19821
MA
1223P0700X
Prosthodontics
20789
MA
Other
Enumeration date
10/26/2006
Last updated
09/11/2025
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