Individual
DR. MARY ANGELA TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
140 FENWAY, BOSTON, MA 02115-3782
(617) 892-8261
(617) 892-8431
Mailing address
140 FENWAY, BOSTON, MA 02115-3782
(617) 892-8261
(617) 892-8431
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
13809
MA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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