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Organization

TRUSTEES OF TUFTS COLLEGE

Active
Parent organization
TRUSTEES OF TUFTS COLLEGE
Other names
Tufts Craniofacial Pain Center, Tufts Craniofacial Pain Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRUSTEES OF TUFTS COLLEGE
Authorized official
LEOPOLDO CORREA BDS, MS (PROGRAM DIRECTOR)
(617) 636-3421
Entity
Organization

Contact information

Practice address
1 KNEELAND ST, 6TH FLOOR, BOSTON, MA 02111-1527
(617) 636-6817
(617) 636-3831
Mailing address
1 KNEELAND ST, 6TH FLOOR, BOSTON, MA 02111-1527
(617) 636-6817
(617) 636-3831

Taxonomy

Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
261QD0000X
Dental Clinic/Center
Primary
4105
MA

Other

Enumeration date
03/11/2008
Last updated
04/09/2020
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