Individual
JIELIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3033 WASHINGTON ST, ROXBURY, MA 02119-1227
(617) 541-2200
(617) 541-2206
Mailing address
2 BARON PARK LN APT 4, BURLINGTON, MA 01803-5419
(571) 488-4248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1858505
MA
Other
Enumeration date
08/14/2019
Last updated
10/01/2019
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