Cambridge Children'S Dentistry PC
Dentist, Pediatric Dentistry in Cambridge, MA. Organization (NPI-2).
NPI number1578823902
StatusActive
Last updated in NPPESMay 18, 2012
Details
- NPI
- 1578823902
- Entity type
- Organization (NPI-2)
- Legal business name
- Cambridge Children'S Dentistry PC
- Organization subpart
- No
- Enumeration date
- May 18, 2012
- Last updated
- May 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DN1855617 | MA | Yes |
Practice location
575 Mount Auburn StSuite 201
Cambridge, MA 02138-4656
Phone 617-383-4356
Mailing address
575 Mount Auburn StSuite 201
Cambridge, MA 02138-4656
Authorized official
Pedram Javedan
President
6173834356
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