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88 E Newton St Boston MA 02118-2308 | |
| (866) 390-1815 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 88 E Newton St, Boston, Massachusetts |
| Authorized Official Name and Position | Jeffrey W Hutter (DEAN) |
| Authorized Official Contact | 6176384780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 E Newton St Room G317 Boston MA 02118-2308 Ph: (617) 638-5932 | 88 E Newton St Boston MA 02118-2308 Ph: (866) 390-1815 |
| NPI Number | 1043443732 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043443732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4954 (Massachusetts) | Primary |
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