Individual
JEONG TEAG OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
150 GODDARD MEMORIAL DR STE 2, WORCESTER, MA 01603-1260
(508) 796-1555
Mailing address
125 FRANKLIN ST APT 2203, WORCESTER, MA 01608-1469
(317) 579-5900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859282
MA
Other
Enumeration date
06/12/2020
Last updated
12/01/2022
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