Individual
DR. JOSE LINE LEDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
175 CENTRE ST APT 909, QUINCY, MA 02169-8600
(617) 302-4093
Mailing address
175 CENTRE ST APT 909, QUINCY, MA 02169-8600
(617) 302-4093
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DL11753
MA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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