Individual
SUNGYON BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
300 LONGWOOD AVE # HU-226, CHILDRENS HOSPITAL BOSTON DENTAL DEPARTMENT, BOSTON, MA 02115-5724
(617) 355-4600
(617) 730-0478
Mailing address
118 RIVERWAY APT 27, BOSTON, MA 02215-4130
(857) 205-6548
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22118
MA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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