Nopsaran Chaimattayompol, Dmd, Pc
May also be knows as Crown Dental Group
Legal Business Name
Nopsaran Chaimattayompol, Dmd, Pc
Also Known As
Crown Dental Group
NPI Number
1033294368
NPI Type
Organization
Enumeration Date
10/26/2006
Specialties
(Taxonomies)Licenses
State
Massachusetts
Massachusetts
Massachusetts
License Number
19821
11693
20789
Contact
Information
Purpose
Mailing
Location
Address
500 CONGRESS ST
500 CONGRESS ST
City
Quincy
Quincy
State
MA
MA
Postal Code
02169-0908
02169-0908
Country
US
US
Telephone Number
(617) 328-0693
(617) 328-0693
Authorized Official
Name
Dr. Nopsaran Chaimattayompol
Title or Position
DIRECTOR
Telephone Number
(617) 328-0693
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020