Organization · Type 2 NPI
Fresh Pond Dental LLC
Dental Clinic/Center · Cambridge, MA
NPI number
1134496904
Active
Practice location
180 Alewife Brook Pkwy
Cambridge, MA 02138-1102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 18643 (MA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1134496904
Fresh Pond Dental LLC's National Provider Identifier is 1134496904, issued on Nov 22, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cambridge, MA. The record was last updated on Nov 22, 2011.