Individual
OLIVIA SHAOGIANG GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
729 CENTRE ST, JAMAICA PLAIN, MA 02130-2520
(617) 524-1110
(617) 524-1140
Mailing address
5 COLLISTON RD, UNIT 6, BRIGHTON, MA 02135-7842
(617) 510-7650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22256
MA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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