Individual
JENNY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
88 HOLMES ST, QUINCY, MA 02171-2431
(617) 318-3200
Mailing address
88 HOLMES ST, QUINCY, MA 02171-2431
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH87212
MA
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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