Individual
YUANMING XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KNEELAND ST FL 6, BOSTON, MA 02111-1527
(617) 636-3932
Mailing address
59 CALUMET ST APT 3, BOSTON, MA 02120-2994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DF11864
MA
125Q00000X
Oral Medicine Dentistry
Primary
DF11947
MA
Other
Enumeration date
07/26/2018
Last updated
10/26/2023
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