NPI | 1063589711 |
---|---|
Doing Business As | UNIVERSITY DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | SCOTT F TUCKER President 781-213-3336 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-11-29 |
Last Update Date | 2021-01-14 |