Harvard Vanguard Medical Associates
Dentist in Auburndale, MA. Organization (NPI-2).
NPI number1104987783
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104987783
- Entity type
- Organization (NPI-2)
- Legal business name
- Harvard Vanguard Medical Associates
- Organization subpart
- No
- Enumeration date
- Dec 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
275 Grove StSuite 3-300
Auburndale, MA 02466-2272
Phone 617-559-8051
Mailing address
275 Grove StSuite 3-300
Auburndale, MA 02466-2272
Phone 617-559-8051 · Fax 617-421-3487
Authorized official
Debra Geihsler
Chief Executive Officer
6175598012
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