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Organization

PRESIDENT & FELLOWS OF HARVARD COLLEGE

Active
Parent organization
PRESIDENT & FELLOWS OF HARVARD COLLEGE
Other names
HUHS Dental Service
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRESIDENT & FELLOWS OF HARVARD COLLEGE
Authorized official
KATHLEEN M COLE (DIRECTOR, REVENUE CYCLE MGMT)
(617) 496-9506
Entity
Organization

Contact information

Practice address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 496-9506
(617) 495-6059
Mailing address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 496-9506
(617) 495-6059

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X12636
BLUE SHIELD
MA
Enumeration date
02/27/2008
Last updated
07/21/2022
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