Massachusetts General Physicians Organization

NPI #1265583199 in Boston, Massachusetts

Provider Information

NPI Number: 1265583199
Entity Type: Organization
Organization Name: Massachusetts General Physicians Organization
Primary Specialty: Dentist
Enumeration Date: Jan 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 165 CAMBRIDGE ST
Address 2: SUITE 401
City: Boston
State: Massachusetts
ZIP Code: 02114-2783
Phone: (617) 726-1076

Authorized Official

Name: DR. AGNES LAU, DMD
Title: DIRECTOR, MGH DENTAL GROUP
Phone: (617) 726-1076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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