| T.p.deahl D.d.s., P.c. | |
|
2286 Massachusetts Ave Cambridge MA 02140-1812 | |
| (617) 868-4046 | |
| (617) 868-5375 |
| Full Name | T.p.deahl D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2286 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Timothy Paul Deahl (PRESIDENT) |
| Authorized Official Contact | 6178684046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T.p.deahl D.d.s., P.c. 2286 Massachsuetts Ave Cambridge MA 02140 Ph: (617) 868-4046 | T.p.deahl D.d.s., P.c. 2286 Massachusetts Ave Cambridge MA 02140-1812 Ph: (617) 868-4046 |
| NPI Number | 1952595696 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952595696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16574 (Massachusetts) | Primary |
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