Individual
OG LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
635 TREMONT ST, BOSTON, MA 02118-1346
(617) 424-0606
(617) 424-0006
Mailing address
635 TREMONT ST., BOSTON, MA 02118
(617) 424-0606
(617) 424-0006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18339
MA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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