Individual
JOHN HSUEH JEN LIAO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1250 HANCOCK STREET, SUITE 123, QUINCY CENTRE, MA 02169-4339
(617) 471-8161
(617) 471-8181
Mailing address
PO BOX 610005, NEWTON HIGHLANDS, MA 02461-0005
(617) 965-5967
(617) 965-5967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18489
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18489
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11958
BCBS
MA
Enumeration date
01/18/2007
Last updated
09/11/2025
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