Organization
IDG BOSTON HIGH STREET DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEEJEONG SON DMD (OWNER DENTIST)
(617) 485-4752
Entity
Organization
Contact information
Practice address
10 HIGH ST STE 333, BOSTON, MA 02110-1672
(617) 482-2500
Mailing address
10 HIGH ST STE 333, BOSTON, MA 02110-1672
(617) 482-2500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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