Individual
DR. PELLY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
166 WILLARD STREET, QUINCY, MA 02169-1516
(617) 479-0079
(617) 358-4019
Mailing address
166 WILLARD STREET, QUINCY, MA 02169-1516
(617) 479-0079
(617) 358-4019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17554
MA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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