Individual
JING GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 KNEELAND ST FL 3, BOSTON, MA 02111-1528
(617) 209-7782
Mailing address
30 KNEELAND ST FL 3, BOSTON, MA 02111-1528
(617) 209-7782
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1858244
MA
Other
Enumeration date
05/12/2017
Last updated
09/16/2023
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