Organization
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Active
Parent organization
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Other names
Harvard Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Authorized official
DR. ROBERT BRUCE DONOFF DMD MD (DEAN)
(617) 432-1401
Entity
Organization
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1401
(617) 432-4258
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1401
(617) 432-4258
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200140
—
MA
Enumeration date
05/28/2008
Last updated
05/28/2008
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