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Individual

TIMOTHY SHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
505 WASHINGTON ST, QUINCY, MA 02169-5834
(617) 639-5942
Mailing address
505 WASHINGTON ST, QUINCY, MA 02169-5834
(978) 866-9319

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856885
MA

Other

Enumeration date
05/27/2015
Last updated
03/17/2016
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