Tufts University School of Dental Medicine

NPI #1104233634 in Boston, Massachusetts

Provider Information

NPI Number: 1104233634
Entity Type: Organization
Organization Name: Tufts University School of Dental Medicine
Subpart: Yes (part of a larger organization)
Parent Organization: TRUSTESS OF TUFTS UNIVERSITY
Primary Specialty: Dentist
Enumeration Date: Jul 16, 2014
Last Updated: Jul 16, 2014

Practice Location

Address: ONE KNEELAND ST ROOM 224
Address 2: TUFTS DENTAL SCHOOL
City: Boston
State: Massachusetts
ZIP Code: 02111
Phone: (407) 421-4607

Authorized Official

Name: ALA OMAR ALI, B.D.S., M.SC
Title: INSTRUCTOR
Phone: (407) 421-4607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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