| Harvard Dental Center | |
|
188 Longwood Ave Boston MA 02115-5819 | |
| (617) 432-1434 | |
| Not Available |
| Full Name | Harvard Dental Center |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 188 Longwood Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Sang Park (PROSTHODONTIST) |
| Authorized Official Contact | 6174322374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvard Dental Center 188 Longwood Ave Boston MA 02115-5819 Ph: () - | Harvard Dental Center 188 Longwood Ave Boston MA 02115-5819 Ph: (617) 432-1434 |
| NPI Number | 1932309366 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932309366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (Massachusetts) | Primary |
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