Boston University Goldman School Of Dental Medicine | |
100 E Newton St Room G401 Boston MA 02118-2308 | |
(617) 638-4993 | |
Not Available |
Full Name | Boston University Goldman School Of Dental Medicine |
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Speciality | Dentist - General Practice |
Location | 100 E Newton St, 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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Boston University Goldman School Of Dental Medicine 100 E Newton St Room G401 Boston MA 02118-2308 Ph: (617) 638-4993 | Boston University Goldman School Of Dental Medicine 100 E Newton St Room G401 Boston MA 02118-2308 Ph: (617) 638-4993 |
NPI Number | 1013152545 |
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Provider Enumeration Date | 12/12/2008 |
Last Update Date | 12/12/2008 |
Identifier | Type | State | Issuer |
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1013152545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4954 (Massachusetts) | Primary |
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