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Organization
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Active
Organization
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE LANE (ASSISTANT DEAN OF CLINICAL OPERATIO)
(617) 432-4276
Entity
Organization
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
30 BERTSON AVE, WEST ROXBURY, MA 02132-3221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DF10843
MA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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