Forsyth Dental Infirmary for Children

NPI #1497977177 in Boston, Massachusetts

Provider Information

NPI Number: 1497977177
Entity Type: Organization
Organization Name: Forsyth Dental Infirmary for Children
Primary Specialty: Dentist
Enumeration Date: May 3, 2007
Last Updated: Dec 9, 2008

Practice Location

Address: 140 FENWAY
City: Boston
State: Massachusetts
ZIP Code: 02115
Phone: (617) 262-5200

Authorized Official

Name: DR. RICHARD NIEDERMAN, DDS
Title: DIRECTOR CENTER FOR EVIDENCE BASED
Phone: (617) 262-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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