Individual
NATTHANICHA SAE-BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 BOYLSTON ST APT 706, BOSTON, MA 02116-4790
(646) 279-5662
Mailing address
62 BOYLSTON ST APT 706, BOSTON, MA 02116-4790
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL101145
MA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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