Organization
IDG IPSWICH DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEEJEONG SON DMD (DENTIST)
(978) 356-0602
Entity
Organization
Contact information
Practice address
130 COUNTY RD STE D, IPSWICH, MA 01938-2585
(978) 356-0602
Mailing address
130 COUNTY RD STE D, IPSWICH, MA 01938-2585
(978) 356-0602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2019
Last updated
12/15/2019
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