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Organization

TRUSTEES OF TUFTS UNIVERSITY

Active
Other names
TUFTS DENTAL FACILITY AT THE MASSACHUSETTS HOSPITAL SCHOOL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DARREN J DRAG (DIRECTOR OF CLINICAL OPERATIONS)
(781) 899-6020
Entity
Organization

Contact information

Practice address
3 RANDOLPH ST, BRADFORD BUILDING, 2ND FLOOR, CANTON, MA 02021-2351
(617) 636-3849
Mailing address
3 RANDOLPH ST, BRADFORD BUILDING, 2ND FLOOR, CANTON, MA 02021-2351
(617) 636-3849

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20040
MA

Other

Enumeration date
06/08/2011
Last updated
06/08/2011
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