Assembly Dental PC
Dentist, Prosthodontics in Somerville, MA. Organization (NPI-2).
NPI number1982185880
StatusActive
Last updated in NPPESAug 28, 2018
Details
- NPI
- 1982185880
- Entity type
- Organization (NPI-2)
- Legal business name
- Assembly Dental PC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2018
- Last updated
- Aug 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | DN1855564 | MA | Yes |
Practice location
460 Foley StSomerville, MA 02145-1213
Phone 617-901-0693
Mailing address
375 Canal St Ph 210Somerville, MA 02145-4346
Phone 617-901-0693
Authorized official
Chan Wook Cheong
President
6179010693
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