Individual
DR. DOREEN ANDREA CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 BOYLSTON ST, SUITE 1060, BOSTON, MA 02116-4618
(617) 482-1117
Mailing address
100 BOYLSTON ST., SUITE 1060, BOSTON, MA 02116-4685
(617) 482-1117
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13226
MA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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