Organization
FORSYTH DENTAL INFIRMARY FOR CHILDREN
Active
Other names
Forsyth Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD NIEDERMAN DDS (DIRECTOR CENTER FOR EVIDENCE BASED)
(617) 262-5200
Entity
Organization
Contact information
Practice address
140 FENWAY, BOSTON, MA 02115
(617) 262-5200
(617) 262-4021
Mailing address
140 FENWAY, BOSTON, MA 02115
(617) 262-5200
(617) 262-4021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13692
MA
122300000X
Dentist
—
—
Other
Enumeration date
05/03/2007
Last updated
12/09/2008
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