Organization
QUINCY DENTAL SPECIALISTS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIAO DONG DMD (MANAGER)
(617) 328-5060
Entity
Organization
Contact information
Practice address
580 HANCOCK ST, QUINCY, MA 02170-1909
(617) 328-5060
Mailing address
580 HANCOCK ST, QUINCY, MA 02170-1909
(617) 328-5060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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