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Organization

T.P.DEAHL D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY PAUL DEAHL D.D.S. (PRESIDENT)
(617) 868-4046
Entity
Organization

Contact information

Practice address
2286 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1812
(617) 868-4046
(617) 868-5375
Mailing address
2286 MASSACHSUETTS AVE, CAMBRIDGE, MA 02140
(617) 868-4046
(617) 868-5375

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16574
MA

Other

Enumeration date
09/05/2007
Last updated
09/05/2007
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