Individual
JEAN-DAVID SEBAOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON UNIVERSITY DENTAL HEALTH CENTER, BOSTON, MA 02215-1274
(617) 358-1000
Mailing address
1 CHARLES ST S UNIT 1607, BOSTON, MA 02116-5458
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9614
MA
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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