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Organization

PRESIDENT & FELLOWS OF HARVARD COLLEGE

Active
Parent organization
PRESIDENT & FELLOWS OF HARVARD COLLEGE
Other names
HUHS Dental Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRESIDENT & FELLOWS OF HARVARD COLLEGE
Authorized official
DR. LAURA MICHELE MARDIS DDS (CHIEF OF SERVICE)
(617) 495-2063
Entity
Organization

Contact information

Practice address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 495-2063
(617) 496-0562
Mailing address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 495-2063
(617) 496-0562

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4RA2
MA

Other

Enumeration date
04/03/2013
Last updated
04/03/2013
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