Individual
HEEJEONG SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111
(859) 361-3655
Mailing address
19 OVERLOOK RIDGE TER UNIT 504, REVERE, MA 02151-1181
(593) 613-6558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1858051
MA
1223G0001X
General Practice Dentistry
Primary
DN1858051
MA
Other
Enumeration date
07/05/2018
Last updated
08/13/2018
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