Organization
IDG BOSTON PO SQUARE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEEJEONG SON DMD (PRESIDENT)
(617) 485-4752
Entity
Organization
Contact information
Practice address
10 POST OFFICE SQ STE 655, BOSTON, MA 02109-4603
(617) 423-6777
(617) 622-1548
Mailing address
1996 CENTRE ST STE 201, WEST ROXBURY, MA 02132-3330
(617) 221-8000
(617) 531-2081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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