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Organization

BLUE HARBOR DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. XIUPING WANG DMD (OWNER)
(617) 953-2289
Entity
Organization

Contact information

Practice address
332 VICTORY RD STE 3A, QUINCY, MA 02171
(617) 953-2289
(617) 801-8180
Mailing address
332 VICTORY RD STE 3A, QUINCY, MA 02171-3120
(617) 953-2289
(617) 801-8180

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary

Other

Enumeration date
09/01/2017
Last updated
08/30/2023
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