| Harvard School Of Dental Medicine | |
|
170 Brookline Ave Unit 620 Boston MA 02215-3937 | |
| (225) 439-3940 | |
| Not Available |
| Full Name | Harvard School Of Dental Medicine |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 170 Brookline Ave, Boston, Massachusetts |
| Authorized Official Name and Position | John Dasilva (VICE DEAN) |
| Authorized Official Contact | 6174321434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvard School Of Dental Medicine 170 Brookline Ave Unit 620 Boston MA 02215-3937 Ph: (225) 439-3940 | Harvard School Of Dental Medicine 170 Brookline Ave Unit 620 Boston MA 02215-3937 Ph: (225) 439-3940 |
| NPI Number | 1750767059 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750767059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DN1857026 (Massachusetts) | Primary |
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