Organization
CRONINS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAEJOON AHN DMD (OWNER)
(781) 647-8000
Entity
Organization
Contact information
Practice address
225 MOODY ST, WALTHAM, MA 02453
(781) 647-8000
(781) 647-8111
Mailing address
225 MOODY ST, WALTHAM, MA 02453
(781) 647-8000
(781) 647-8111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11231
BCBS
—
Enumeration date
03/02/2007
Last updated
08/22/2020
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