| Harvard School Of Dental Medicine | |
|
188 Longwood Ave Boston MA 02115-5819 | |
| (617) 515-9993 | |
| Not Available |
| Full Name | Harvard School Of Dental Medicine |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 188 Longwood Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Catherine R Lane (ASSISTANT DEAN CLINICAL OPERATIONS) |
| Authorized Official Contact | 6174324276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvard School Of Dental Medicine 188 Longwood Ave Boston MA 02115-5819 Ph: (617) 515-9993 | Harvard School Of Dental Medicine 188 Longwood Ave Boston MA 02115-5819 Ph: (617) 515-9993 |
| NPI Number | 1598021156 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 04/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598021156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DL11500 (Massachusetts) | Primary |
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