Individual
DR. CARLY F PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
800 BOYLSTON ST FL 2, BOSTON, MA 02199-1900
(617) 259-1100
Mailing address
800 BOYLSTON ST FL 2, BOSTON, MA 02199-1900
(617) 259-1100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030914
IL
1223P0700X
Prosthodontics
Primary
DN1858378
MA
Other
Enumeration date
05/15/2019
Last updated
01/24/2020
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