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Organization

BOSTON UNIVERSITY HENRY M. GOLDMAN SCHOOL OF DENTAL MEDICINE

Active
Parent organization
BOSTON UNIVERSITY HENRY M. GOLDMAN SCHOOL OF DENTAL MEDICINE
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOSTON UNIVERSITY HENRY M. GOLDMAN SCHOOL OF DENTAL MEDICINE
Authorized official
ANAMARIA DE LOS SANTOS (ADMINISTRATIVE COORDINATOR)
(617) 638-4683
Entity
Organization

Contact information

Practice address
100 E NEWTON ST # G-200, BOSTON, MA 02118-2308
(617) 638-4683
Mailing address
100 E NEWTON ST # G-200, BOSTON, MA 02118-2308
(617) 638-4683

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
11/18/2013
Last updated
11/18/2013
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