Organization
CAMBRIDGE DENTAL ANNEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL K YUN (DENTIST/OWNER)
(617) 871-1482
Entity
Organization
Contact information
Practice address
897 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3045
(617) 871-1482
(617) 871-1484
Mailing address
897 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3045
(617) 871-1482
(617) 871-1484
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17123
MA
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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