Organization · Type 2 NPI
Prospect Dental Group, L.l.c.
Dental Clinic/Center · Cambridge, MA
NPI number
1750521399
Active
Practice location
30 Prospect St.
Cambridge, MA 02139
Fax (617) 576-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 21214 (MA) |
Dental Clinic/Center: Definition to come...
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About NPI 1750521399
Prospect Dental Group, L.l.c.'s National Provider Identifier is 1750521399, issued on Feb 23, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cambridge, MA. The record was last updated on Jul 10, 2012.