Individual
DR. MARY QIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
505 WASHINGTON ST, QUINCY, MA 02169-5834
(617) 639-5942
(617) 639-5596
Mailing address
505 WASHINGTON ST, QUINCY, MA 02169-5834
(617) 639-5942
(617) 639-5596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855619
MA
1223G0001X
General Practice Dentistry
DI02453900
NJ
Other
Enumeration date
09/07/2010
Last updated
02/25/2011
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