Organization · NPI-2

1749 Associates, LLC

Dentist, Pediatric Dentistry · Cambridge, MA

NPI number1033849955
StatusActive
Last updated in NPPESJun 14, 2022

Details

NPI
1033849955
Entity type
Organization (NPI-2)
Legal business name
1749 Associates, LLC
Organization subpart
No
Enumeration date
Jun 14, 2022
Certification date
Jun 7, 2022
Last updated
Jun 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry––Yes

Other names

  • Cambridge Pediatric Dental Associates (Doing Business As)

Practice location

1749 Massachusetts Ave
Cambridge, MA 02140-2217

Phone 617-491-1161

Mailing address

1749 Massachusetts Ave
Cambridge, MA 02140-2217

Phone 617-491-1161

Authorized official

Fatima P Aziz
Ceo/Owner
8579194411

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