Individual
DR. CHIEN-CHING JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
800 MAIN ST, DENNIS, MA 02638-1904
(508) 385-9992
Mailing address
PO BOX 605, DENNIS, MA 02638-0605
(508) 385-9992
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01423816
UNITED CONCORDIA
MA
01
—
41873
HARVARD PILGRIM
MA
01
—
X12084
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/22/2007
Last updated
07/08/2007
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