Organization
SOMERVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOONYOUNG LEE DMD (PRESIDENT)
(617) 642-3139
Entity
Organization
Contact information
Practice address
51 CROSS ST, SOMERVILLE, MA 02145-3244
(617) 642-3139
Mailing address
51 CROSS ST, SOMERVILLE, MA 02145-3244
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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