Organization
JADE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JING GUO DMD (MEMBER)
(617) 209-7782
Entity
Organization
Contact information
Practice address
30 KNEELAND ST, SUITE 301, BOSTON, MA 02111
(617) 272-6553
Mailing address
30 KNEELAND ST # 301, BOSTON, MA 02111-1505
(617) 209-7782
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/16/2023
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