Organization
TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Active
Parent organization
TRUSTEES OF TUFTS COLLEGE
Other names
Tufts University CBCT Imaging Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUSTEES OF TUFTS COLLEGE
Authorized official
BETH CONANT (DIR CLINIC FINANCE & ADMINISTRATION)
(617) 636-6842
Entity
Organization
Contact information
Practice address
1 KNEELAND ST, 3RD FL, BOSTON, MA 02111-1527
(617) 636-6812
Mailing address
200 HARRISON AVE, 2ND FL, BOSTON, MA 02111-1836
(617) 636-0451
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
—
—
Other
Enumeration date
02/23/2017
Last updated
02/28/2017
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