Individual
SANG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-2374
(617) 432-3881
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19513
MA
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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