| Tufts University School Of Dental Medicine | |
|
One Kneeland St Room 224 Tufts Dental School Boston MA 02111 | |
| (407) 421-4607 | |
| Not Available |
| Full Name | Tufts University School Of Dental Medicine |
|---|---|
| Speciality | Dentist |
| Location | One Kneeland St Room 224, Boston, Massachusetts |
| Authorized Official Name and Position | Ala Omar Ali (INSTRUCTOR) |
| Authorized Official Contact | 4074214607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts University School Of Dental Medicine 1 Kneeland St # 224 Boston MA 02111-1527 Ph: (407) 421-4607 | Tufts University School Of Dental Medicine One Kneeland St Room 224 Tufts Dental School Boston MA 02111 Ph: (407) 421-4607 |
| NPI Number | 1104233634 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 07/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104233634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DF10975 (Massachusetts) | Primary |
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