Individual
SEUNGHEE L MUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
254 COCHITUATE RD, FRAMINGHAM, MA 01701-4627
(508) 875-1060
(508) 875-0620
Mailing address
245 COCHITUATE ROAD, FRAMINGHAM, MA 01701
(508) 875-1060
(508) 875-0620
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18131
MA
332B00000X
Durable Medical Equipment & Medical Supplies
DN18131
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X07438
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/18/2006
Last updated
09/24/2019
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