Individual
DR. DOUG LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 521-6713
Mailing address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 521-6713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14751
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258938
—
MA
Enumeration date
10/04/2006
Last updated
01/01/2013
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