Organization
MAYANI DENTAL GROUP LLC
Active
Parent organization
JENNY CHANG, DMD, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JENNY CHANG, DMD, PC
Authorized official
MR. EYAD MAYANI DMD (OWNER)
(617) 330-8887
Entity
Organization
Contact information
Practice address
1 INTERNATIONAL PL FL 7, BOSTON, MA 02110-2602
(617) 330-8887
(617) 330-8730
Mailing address
1 INTERNATIONAL PL FL 7, BOSTON, MA 02110-2602
(617) 330-8887
(617) 330-8730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19583
MA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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