Organization
TRUSTEES OF BOSTON UNIVERSITY
Active
Parent organization
TRUSTEES OF BOSTON UNIVERSITY
Other names
Boston University Oral Surgery Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUSTEES OF BOSTON UNIVERSITY
Authorized official
DR. PUSHKAR MEHRA DMD (CHAIRMAN)
(617) 638-4352
Entity
Organization
Contact information
Practice address
100 E NEWTON ST, G407, BOSTON, MA 02118-2308
(617) 638-4352
(617) 638-4365
Mailing address
100 E NEWTON ST, G407, BOSTON, MA 02118-2308
(617) 638-4352
(617) 638-4365
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
03/14/2011
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