Harvard Dental Center
Dentist, Prosthodontics in Boston, MA. Organization (NPI-2).
NPI number1932309366
StatusActive
Last updated in NPPESJul 24, 2007
Details
- NPI
- 1932309366
- Entity type
- Organization (NPI-2)
- Legal business name
- Harvard Dental Center
- Organization subpart
- No
- Enumeration date
- Jul 24, 2007
- Last updated
- Jul 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | – | MA | Yes |
Practice location
188 Longwood AveBoston, MA 02115-5819
Phone 617-432-1434
Mailing address
188 Longwood AveBoston, MA 02115-5819
Authorized official
Sang Park
Prosthodontist
6174322374
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