Individual
MICHELLE POON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
658 TREMONT ST APT 9, BOSTON, MA 02118
(857) 366-3611
Mailing address
158 N MAIN ST, UXBRIDGE, MA 01569-1748
(508) 714-7068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857912
MA
Other
Enumeration date
05/11/2018
Last updated
06/07/2018
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