Individual
DR. TERESA CHANTING SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
49 BURBANK ST APT 15, BOSTON, MA 02115-3640
(857) 200-7626
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL11684
MA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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