| NPI | 1790955318 |
|---|---|
| Doing Business As | TUFTS CRANIOFACIAL PAIN CENTER |
| Doing Business As | TUFTS CRANIOFACIAL PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEOPOLDO CORREA Program Director 617-636-3421 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 4105) |
| Additional Taxonomies | 1223X2210X Dentist, Orofacial Pain |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2020-04-09 |