| NPI | 1720381064 |
|---|---|
| Doing Business As | TUFTS DENTAL FACILITY GPR |
| Entity Type | Organization |
| Authorized Contact | DARREN J DRAG Director Of Clinical Operations 781-899-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 20040) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |