Organization
SUN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY TJAHJONO DMD (DENTIST)
(617) 947-3999
Entity
Organization
Contact information
Practice address
484 MAIN ST # 320, WORCESTER, MA 01608-1893
(617) 947-3999
Mailing address
484 MAIN ST # 320, WORCESTER, MA 01608-1893
(617) 947-3999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19510
MA
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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