| NPI | 1164512570 |
|---|---|
| Doing Business As | HARVARD DENTAL CENTER FGP |
| Entity Type | Organization |
| Authorized Contact | JOHN DA SILVA Medical Director 617-432-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 17724) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 16638) |
| 1223P0700X Dentist, Prosthodontics (Licence: MA 16484) | |
| 1223E0200X Dentist, Endodontics (Licence: MA 12762) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 14710) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 9239) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2016-02-17 |