Individual
STEPHANIE JUNE TING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
188 LONGWOOD AVE, AGE ORTHODONTICS, BOSTON, MA 02115-5819
(909) 331-5290
Mailing address
188 LONGWOOD AVE, AGE ORTHODONTICS, BOSTON, MA 02115-5819
(909) 331-5290
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1857346
MA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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