Individual
DR. TARA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858230
MA
1223G0001X
General Practice Dentistry
DEN03388
RI
Other
Enumeration date
07/21/2018
Last updated
07/19/2019
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