Cambridgeport Dental LLC

NPI #1285013052 in Cambridge, Massachusetts

Provider Information

NPI Number: 1285013052
Entity Type: Organization
Organization Name: Cambridgeport Dental LLC
Primary Specialty: Dentist
Enumeration Date: May 26, 2015
Last Updated: May 26, 2015

Practice Location

Address: 10 MAGAZINE ST
Address 2: SUITE D
City: Cambridge
State: Massachusetts
ZIP Code: 02139-3391
Phone: (617) 431-5999

Authorized Official

Name: MARA L. GREEN, DMD
Title: OWNER
Phone: (617) 431-5999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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