| Mass College Of Pharmacy & Health Sciences | |
|
179 Longwood Ave Forstyh School Of Dental Hygiene Boston MA 02115-5804 | |
| (617) 278-2700 | |
| (617) 732-2912 |
| Full Name | Mass College Of Pharmacy & Health Sciences |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 179 Longwood Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Mary Foley (DEAN OF FORSYTH SCHOOL OF DENTAL HY) |
| Authorized Official Contact | 6177351049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mass College Of Pharmacy & Health Sciences 179 Longwood Ave Forstyh School Of Dental Hygiene Boston MA 02115-5804 Ph: (617) 278-2700 | Mass College Of Pharmacy & Health Sciences 179 Longwood Ave Forstyh School Of Dental Hygiene Boston MA 02115-5804 Ph: (617) 278-2700 |
| NPI Number | 1114124765 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114124765 | NPI | - | NPPES |
| 210013 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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