| NPI | 1871719104 |
|---|---|
| Other Name | TUFTS DENTAL FACILITY FERNALD |
| 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 | 2007-04-17 |
| Last Update Date | 2020-08-22 |