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Individual

SEUNGHEE L MUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

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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