Individual
DR. JHON CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3990
Mailing address
399 CONGRESS ST APT 404, BOSTON, MA 02210-2574
(305) 748-7703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL15752
MA
Other
Enumeration date
06/20/2023
Last updated
08/01/2023
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