Individual
XUE YU SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9 LINDEN STREET, WORCESTER, MA 01609
(508) 755-0008
(508) 770-0603
Mailing address
9 LINDEN STREET, WORCESTER, MA 01609
(508) 755-0008
(508) 770-0603
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21007
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204218
—
MA
01
—
X09042
BCBS
—
Enumeration date
08/05/2006
Last updated
07/23/2012
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