Organization · Type 2 NPI

President and Fellows of Harvard College

Dental Clinic/Center · Boston, MA

NPI number 1093069858 Active

Practice location

188 Longwood Ave
Boston, MA 02115-5819

Mailing address

30 Bertson Ave
West Roxbury, MA 02132-3221

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDF10843 (MA)

Dental Clinic/Center: Definition to come...

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About NPI 1093069858

President and Fellows of Harvard College's National Provider Identifier is 1093069858, issued on Nov 1, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boston, MA. The record was last updated on Nov 1, 2012.