Organization
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Active
Parent organization
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Other names
Harvard Dental Center TP
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Authorized official
DR. JOHN DA SILVA DMD (MEDICAL DIRECTOR)
(617) 432-1440
Entity
Organization
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1440
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16484
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200140
—
MA
Enumeration date
05/28/2008
Last updated
01/07/2013
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