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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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