Organization
MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
Active
Parent organization
COMMONWEALTH OF MASSACHUSETTS
Other names
Office of Oral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Authorized official
CAROL WEISBERG (CHIEF OPERATING OFFICER)
(617) 624-5260
Entity
Organization
Contact information
Practice address
250 WASHINGTON ST, 5TH FLOOR, BOSTON, MA 02108-4603
(617) 624-6074
(617) 624-6062
Mailing address
250 WASHINGTON ST, 5TH FLOOR, BOSTON, MA 02108-4603
(617) 624-6074
(617) 624-6062
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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