| Tufts Dental Facility At The Massachusetts Hospital School | |
|
3 Randolph St Bradford Building, 2nd Floor Canton MA 02021-2351 | |
| (617) 636-3849 | |
| Not Available |
| Full Name | Tufts Dental Facility At The Massachusetts Hospital School |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3 Randolph St, Canton, Massachusetts |
| Authorized Official Name and Position | Darren J Drag (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 7818996020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts Dental Facility At The Massachusetts Hospital School 3 Randolph St Bradford Building, 2nd Floor Canton MA 02021-2351 Ph: (617) 636-3849 | Tufts Dental Facility At The Massachusetts Hospital School 3 Randolph St Bradford Building, 2nd Floor Canton MA 02021-2351 Ph: (617) 636-3849 |
| NPI Number | 1144514027 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144514027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20040 (Massachusetts) | Primary |
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