Individual
DR. SUNGYONG BAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115
(617) 432-1434
Mailing address
170 BROOKLINE AVE UNIT 315, BOSTON, MA 02215-3921
(206) 604-6344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858012
MA
Other
Enumeration date
07/02/2018
Last updated
07/03/2018
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