Individual
JIE SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(201) 968-6794
Mailing address
660 HUNTINGTON AVE APT 43, BOSTON, MA 02115-5915
(201) 968-6794
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857610
MA
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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