Organization
TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH CONANT (DIRECTOR OF FINANCE AND ADMINISTRAT)
(617) 636-6842
Entity
Organization
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
136 HARRISON AVE, BOSTON, MA 02111-1817
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DF11049
MA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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