Organization
SOUTH SHORE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY SANGGUOT HUA DMD (OWNER)
(781) 340-5437
Entity
Organization
Contact information
Practice address
5 FEDERAL ST, WEYMOUTH, MA 02188-2108
(781) 340-5437
(781) 340-5438
Mailing address
5 FEDERAL ST, WEYMOUTH, MA 02188-2108
(781) 340-5437
(781) 340-5438
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1855205
MA
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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