Boston University Henry M. Goldman School Of Dental Medicine | |
100 E Newton St # G-200 Boston MA 02118-2308 | |
(617) 638-4683 | |
Not Available |
Full Name | Boston University Henry M. Goldman School Of Dental Medicine |
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Speciality | Dentist - Pediatric Dentistry |
Location | 100 E Newton St # G-200, Boston, Massachusetts |
Authorized Official Name and Position | Anamaria De Los Santos (ADMINISTRATIVE COORDINATOR) |
Authorized Official Contact | 6176384683 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boston University Henry M. Goldman School Of Dental Medicine 100 E Newton St # G-200 Boston MA 02118-2308 Ph: (617) 638-4683 | Boston University Henry M. Goldman School Of Dental Medicine 100 E Newton St # G-200 Boston MA 02118-2308 Ph: (617) 638-4683 |
NPI Number | 1952731549 |
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Provider Enumeration Date | 11/18/2013 |
Last Update Date | 11/18/2013 |
Identifier | Type | State | Issuer |
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1952731549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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