| Central Square Family Dental Pc | |
|
714 Massachusetts Ave Cambridge MA 02139-3308 | |
| (617) 868-9400 | |
| Not Available |
| Full Name | Central Square Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 714 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Julia Faigel (PRESIDENT) |
| Authorized Official Contact | 6178689400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Square Family Dental Pc 714 Massachusetts Ave Cambridge MA 02139-3308 Ph: (617) 868-9400 | Central Square Family Dental Pc 714 Massachusetts Ave Cambridge MA 02139-3308 Ph: (617) 868-9400 |
| NPI Number | 1407907249 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407907249 | NPI | - | NPPES |
| 0203980 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20485 (Massachusetts) | Primary |
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