Organization · Type 2 NPI

Fenway Health

Dental Clinic/Center · Boston, MA

NPI number 1124259056 Active

Practice location

1340 Boylston St
Boston, MA 02215-4302

Mailing address

1340 Boylston Street
Boston, MA 02215

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed
Federally Qualified Health Center (FQHC) 261QF0400XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1124259056

Fenway Health's National Provider Identifier is 1124259056, issued on Jul 27, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boston, MA. The record was last updated on Jul 27, 2009.