Female

Dr. Carly F. Park DMD

Prosthodontist in Boston, MA(View on Map)

Full Name

Dr. Carly F Park DMD

NPI Number

1942866900

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/15/2019

Specialties

(Taxonomies)

Code

1223P0700X
122300000X

Primary Taxonomy

Yes
No

Licenses

State

Illinois
Massachusetts

License Number

019030914
DN1858378

Contact
Information

Purpose

Mailing
Location

Address

800 BOYLSTON ST FL 2
800 BOYLSTON ST FL 2

City

Boston
Boston

State

MA
MA

Postal Code

02199-1900
02199-1900

Country

US
US

Telephone Number

(617) 259-1100
(617) 259-1100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/24/2020

Provider Address

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