Individual
DR. JEANNE C. UN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
745 BOYLSTON ST, SUITE 403, BOSTON, MA 02116-2636
(617) 859-7107
Mailing address
745 BOYLSTON ST, SUITE 403, BOSTON, MA 02116-2636
(617) 859-7107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
03154
RI
122300000X
Dentist
Primary
1855836
MA
122300000X
Dentist
60301056
WA
Other
Enumeration date
09/20/2011
Last updated
11/13/2012
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