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Individual

DR. FRANK T NGHIEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
1510 DORCHESTER AVE, 1510 DORCHESTER AVE, DORCHESTER, MA 02122-1327
(617) 288-7600
Mailing address
1510 DORCHESTER AVE, 1510 DORCHESTER AVE, DORCHESTER, MA 02122-1327
(617) 288-7600

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16184
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0266795
MA
Enumeration date
12/21/2006
Last updated
07/08/2007
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