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Organization
HARVARD DENTAL CENTER
Active
Organization
HARVARD DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG PARK (PROSTHODONTIST)
(617) 432-2374
Entity
Organization
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
MA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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