Organization
ASSEMBLY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAN WOOK CHEONG DMD (PRESIDENT)
(617) 901-0693
Entity
Organization
Contact information
Practice address
460 FOLEY ST, SOMERVILLE, MA 02145-1213
(617) 901-0693
Mailing address
375 CANAL ST PH 210, SOMERVILLE, MA 02145-4346
(617) 901-0693
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN1855564
MA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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