NPI | 1104040757 |
---|---|
Other Name | TUFTS DENTAL FACILITY GLAVIN |
Entity Type | Organization |
Authorized Contact | JOHN PATRICK MORGAN Administrative Director 781-899-6020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 20040) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |