Organization
DAVID M. PETRARCA, DDS & SUNGYON BANG, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL PETRARCA D.D.S. (PRESIDENT)
(781) 391-8300
Entity
Organization
Contact information
Practice address
80 HIGH ST, MEDFORD, MA 02155-3813
(781) 391-8300
Mailing address
80 HIGH ST, MEDFORD, MA 02155-3813
(781) 391-8300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
MA
Other
Enumeration date
03/10/2006
Last updated
01/16/2020
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