Individual
THOMAS ELLIOTT VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, DDS
Contact information
Practice address
245 FIRST ST, SUITE 1756, CAMBRIDGE, MA 02142-1200
(617) 892-8503
(617) 262-4021
Mailing address
245 FIRST ST, SUITE 1756, CAMBRIDGE, MA 02142-1200
(617) 892-8503
(617) 262-4021
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN 18882
MA
Other
Enumeration date
02/28/2011
Last updated
03/01/2011
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