Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sang Park

Individual provider Prosthodontics · NPI 1679743108

Sang Park is a Prosthodontics in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2008
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Practice location Address checks out

188 Longwood Ave
Boston, MA 02115-5819
Phone: (617) 432-2374
Fax: (617) 432-3881
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Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 19513 (MA)

Record details

NPI number1679743108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2008
Last updated in NPPESMarch 12, 2008
Mailing address188 Longwood Ave, Boston, MA 02115-5819

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