Organization · NPI-2
Alex J Callejas Dmd, LLC
Dentist, General Practice · Cambridge, MA
NPI number1932534724
StatusActive
Last updated in NPPESSep 11, 2013
Details
- NPI
- 1932534724
- Entity type
- Organization (NPI-2)
- Legal business name
- Alex J Callejas Dmd, LLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2013
- Last updated
- Sep 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 20894 | MA | Yes |
Other names
- Kendall Square Dental Associates (Other Name)
Practice location
1 Kendall SqSuite 3104
Cambridge, MA 02139-1562
Phone 617-577-8700
Mailing address
1 Kendall SqSuite 3104
Cambridge, MA 02139-1562
Phone 617-577-8700
Authorized official
Alex J Callejas
Owner/President
6178881613
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