Organization
GODWIN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMINE F BERRY (DENTAL ASSISTANT)
(617) 364-3274
Entity
Organization
Contact information
Practice address
427 COMMERCIAL ST, BOSTON, MA 02109-1027
(617) 223-3121
(617) 223-3038
Mailing address
39 FRAZER ST, HYDE PARK, MA 02136-3735
(617) 364-3274
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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