Organization
HARTE DENTAL L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANNE HARTE D.M.D. (MANAGER)
(617) 696-5257
Entity
Organization
Contact information
Practice address
480 ADAMS ST STE 206, MILTON, MA 02186-4914
(617) 696-5257
(617) 696-1688
Mailing address
480 ADAMS ST STE 206, MILTON, MA 02186-4914
(617) 696-5257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497161038
—
MA
Enumeration date
07/02/2019
Last updated
07/02/2019
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