Organization
JNL DENTAL ONE PC
Active
Other names
Merrimack Valley Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JI HYUN LEE (CO-OWNER)
(646) 725-2640
Entity
Organization
Contact information
Practice address
270 CONCORD ST STE 1, FRAMINGHAM, MA 01702-6489
(508) 872-7700
Mailing address
19 IVANA DR, ANDOVER, MA 01810-2812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857531
MA
Other
Enumeration date
05/01/2017
Last updated
03/17/2018
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