| David M. Petrarca, Dds & Sungyon Bang, Dmd, P.c. | |
|
80 High St Medford MA 02155-3813 | |
| (781) 391-8300 | |
| Not Available |
| Full Name | David M. Petrarca, Dds & Sungyon Bang, Dmd, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 80 High St, Medford, Massachusetts |
| Authorized Official Name and Position | David Michael Petrarca (PRESIDENT) |
| Authorized Official Contact | 7813918300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Petrarca, Dds & Sungyon Bang, Dmd, P.c. 80 High St Medford MA 02155-3813 Ph: (781) 391-8300 | David M. Petrarca, Dds & Sungyon Bang, Dmd, P.c. 80 High St Medford MA 02155-3813 Ph: (781) 391-8300 |
| NPI Number | 1316915788 |
|---|---|
| Provider Enumeration Date | 03/10/2006 |
| Last Update Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316915788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Massachusetts) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Massachusetts) | Secondary |
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