| |
930 Commonwealth Ave Boston MA 02215-1274 | |
(617) 358-1000 | |
(617) 358-1010 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 930 Commonwealth Ave, Boston, Massachusetts |
Authorized Official Name and Position | Jeffrey W Hutter (PROFESSOR AND DEAN) |
Authorized Official Contact | 6176384780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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930 Commonwealth Ave Boston MA 02215-1274 Ph: (617) 358-1000 | 930 Commonwealth Ave Boston MA 02215-1274 Ph: (617) 358-1000 |
NPI Number | 1598818122 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 12/03/2008 |
Identifier | Type | State | Issuer |
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1598818122 | NPI | - | NPPES |
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