Organization
PELLY CHANG,DMD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PELLY CHANG DMD (PRESIDENT)
(617) 479-0079
Entity
Organization
Contact information
Practice address
166 WILLARD ST, 1ST FLOOR, QUINCY, MA 02169-1516
(617) 479-0079
Mailing address
166 WILLARD ST, 1ST FLOOR, QUINCY, MA 02169-1516
(617) 479-0079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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