Individual
DR. WANPENG XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 E NEWTON ST, RM#217, BOSTON, MA 02118-2308
(617) 638-4760
Mailing address
20 DALBY ST., NEWTON, MA 02458
(857) 424-6360
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN1857009
MA
Other
Enumeration date
07/30/2015
Last updated
07/27/2022
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