| Jade Orthodontics | |
|
30 Kneeland St, Suite 301 Boston MA 02111 | |
| (617) 272-6553 | |
| Not Available |
| Full Name | Jade Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 30 Kneeland St, Suite 301, Boston, Massachusetts |
| Authorized Official Name and Position | Jing Guo (MEMBER) |
| Authorized Official Contact | 6172097782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Orthodontics 30 Kneeland St # 301 Boston MA 02111-1505 Ph: (617) 209-7782 | Jade Orthodontics 30 Kneeland St, Suite 301 Boston MA 02111 Ph: (617) 272-6553 |
| NPI Number | 1184265258 |
|---|---|
| Provider Enumeration Date | 09/30/2019 |
| Last Update Date | 09/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184265258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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