Individual
JEAN QUINLAN BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
65 SASSAMON AVE, MILTON, MA 02186-3910
(857) 544-7282
Mailing address
65 SASSAMON AVE., MILTON, MA 02186
(857) 544-7282
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8265
MA
Other
Enumeration date
08/24/2010
Last updated
10/06/2016
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