Harvard School Of Dental Medicine | |
188 Longwood Ave Boston MA 02115-5819 | |
(617) 432-1434 | |
Not Available |
Full Name | Harvard School Of Dental Medicine |
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Speciality | Dentist - Prosthodontics |
Location | 188 Longwood Ave, Boston, Massachusetts |
Authorized Official Name and Position | John D Da Silva (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 188 Longwood Ave Boston MA 02115-5819 Ph: (617) 432-1434 | Harvard School Of Dental Medicine 188 Longwood Ave Boston MA 02115-5819 Ph: (617) 432-1434 |
NPI Number | 1790144020 |
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Provider Enumeration Date | 02/15/2016 |
Last Update Date | 02/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790144020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | DF11154 (Massachusetts) | Primary |
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