Individual
HA BIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-0311
Mailing address
45 STUART ST APT 2113, BOSTON, MA 02116-4768
(734) 834-1575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022728
MI
122300000X
Dentist
Primary
DN1858237
MA
Other
Enumeration date
07/19/2018
Last updated
06/21/2019
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