Organization
EAST END DENTAL WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOON JAE KIM DMD (PRESIDENT)
(617) 955-9887
Entity
Organization
Contact information
Practice address
165 BELMONT ST STE A, SOUTH EASTON, MA 02375-1952
(508) 230-0048
Mailing address
165 BELMONT ST STE A, SOUTH EASTON, MA 02375-1952
(508) 230-0048
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1855295
MA
Other
Enumeration date
09/18/2014
Last updated
08/29/2022
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