Apollo Dental Ass.
Dentist, General Practice in Cambridge, MA. Organization (NPI-2).
NPI number1902090632
StatusActive
Last updated in NPPESJun 11, 2012
Details
- NPI
- 1902090632
- Entity type
- Organization (NPI-2)
- Legal business name
- Apollo Dental Ass.
- Organization subpart
- No
- Enumeration date
- Sep 6, 2007
- Last updated
- Jun 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19385 | MA | Yes |
Practice location
413 Mass AveCambridge, MA 02139-4102
Phone 617-354-1678 · Fax 617-534-2927
Mailing address
413 Mass AveCambridge, MA 02139-4102
Phone 617-354-1678 · Fax 617-534-2927
Authorized official
Dieutrang Bui
Owner
6173541678
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