Organization
PARK PROSTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLY PARK DMD (OWNER)
(203) 921-5437
Entity
Organization
Contact information
Practice address
50 STANIFORD ST STE 303, BOSTON, MA 02114-2542
(617) 523-4555
Mailing address
776 MAIN ST UNIT 540085, WALTHAM, MA 02454-5405
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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