Lung, Darrly J

Lung, Darrly J is an individual health care provider with primary practice located at 60 Federal St , Boston MA 02110-2510. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Lung, Darrly J can be contacted via phone (617) 423-6165.

Contact Information

Primary practice address
60 Federal St Boston MA 02110-2510
Fax: (617) 426-0006
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 16607 Massachusetts

Profile Details

NPI number 1134323975
LBN Legal business name Lung, Darrly J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134323975 NPPES
Massachusetts Other 1790838225 GROUP

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