Organization
HARVARD SCHOOL OF DENTAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DASILVA DMD (VICE DEAN)
(617) 432-1434
Entity
Organization
Contact information
Practice address
170 BROOKLINE AVE, UNIT 620, BOSTON, MA 02215-3937
(225) 439-3940
Mailing address
170 BROOKLINE AVE, UNIT 620, BOSTON, MA 02215-3937
(225) 439-3940
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN1857026
MA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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