Organization
PORTER SQUARE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA LEA PERKINS DMD (DENTIST)
(617) 547-3934
Entity
Organization
Contact information
Practice address
14 UPLAND RD, CAMBRIDGE, MA 02140-2712
(617) 547-3934
Mailing address
14 UPLAND RD, CAMBRIDGE, MA 02140-2712
(617) 547-3934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21641
MA
1223G0001X
General Practice Dentistry
22266
MA
1223P0700X
Prosthodontics
20292
MA
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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