Organization
TRUSTEES OF TUFTS UNIVERSITY
Active
Other names
TUFTS DENTAL FACILITY GPR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN J DRAG (DIRECTOR OF CLINICAL OPERATIONS)
(781) 899-6020
Entity
Organization
Contact information
Practice address
1 KNEELAND STREET, 3RD FLOOR, BOSTON, MA 02111
(617) 636-6669
Mailing address
1 KNEELAND STREET, 3RD FLOOR, BOSTON, MA 02111
(617) 636-6669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20040
MA
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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