Individual
DR. DAVID C THEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, BDS
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DL100082
MA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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