Individual
JONATHAN ZUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4670
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15938
MA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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