Somerville Pediatric Dentistry and Orthodontics
NPI #1790254845 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1790254845
- Entity Type
- Organization
- Organization Name
- Somerville Pediatric Dentistry and Orthodontics
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Nov 19, 2018
- Last Updated
- Nov 19, 2018
Practice Location
- Address
- 51 CROSS ST
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02145-3244
- Phone
- (617) 642-3139
Authorized Official
- Name
- DR. MOONYOUNG LEE, DMD
- Title
- PRESIDENT
- Phone
- (617) 642-3139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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