Male or Other

Dr. Darrly J. Lung DMD

Prosthodontist in Boston, MA(View on Map)

Full Name

Dr. Darrly J Lung DMD

NPI Number

1134323975

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/14/2007

Specialties

(Taxonomies)

Code

1223P0700X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

16607

Contact
Information

Purpose

Mailing
Location

Address

60 FEDERAL ST
60 FEDERAL ST

City

Boston
Boston

State

MA
MA

Postal Code

02110-2510
02110-2510

Country

US
US

Telephone Number

(617) 423-6165
(617) 423-6165

Identifiers

Identifier

1790838225

Identifier State

MA

Identifier Issuer

GROUP

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

Data last updated by provider on 07/08/2007

Provider Address

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