Individual
JESSICA CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
394 LOWELL ST STE 2, LEXINGTON, MA 02420
(781) 862-3333
Mailing address
2 BLODGETT RD, LEXINGTON, MA 02420-2409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858098
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2017
Last updated
09/04/2018
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