Individual
MINWOO JANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
655 BOSTON RD STE 3A, BILLERICA, MA 01821-5338
(508) 213-9902
Mailing address
655 BOSTON RD STE 3A, BILLERICA, MA 01821-5338
(508) 213-9902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856653
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100537A
—
MA
Enumeration date
07/23/2014
Last updated
08/23/2024
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