Individual
DR. DANIEL JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 MAIN ST, TEWKSBURY, MA 01876-4774
(978) 851-5200
Mailing address
1201 MAIN ST, TEWKSBURY, MA 01876-4774
(978) 851-5200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1855177
MA
Other
Enumeration date
04/29/2008
Last updated
11/08/2021
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