| |
181 Concord Ave Cambridge MA 02138-2317 | |
(617) 492-6070 | |
(617) 576-3848 |
Full Name | |
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Speciality | Dentist - Prosthodontics |
Location | 181 Concord Ave, Cambridge, Massachusetts |
Authorized Official Name and Position | David Fish (DENTIST) |
Authorized Official Contact | 6174926070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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181 Concord Ave Cambridge MA 02138-2317 Ph: (617) 492-6070 | 181 Concord Ave Cambridge MA 02138-2317 Ph: (617) 492-6070 |
NPI Number | 1952447831 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952447831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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