President and Fellows of Harvard College
NPI #1972761807 in Boston, Massachusetts
Provider Information
- NPI Number
- 1972761807
- Entity Type
- Organization
- Organization Name
- President and Fellows of Harvard College
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRESIDENT AND FELLOWS OF HARVARD COLLEGE
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 28, 2008
- Last Updated
- Jan 7, 2013
Practice Location
- Address
- 188 LONGWOOD AVE
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02115-5819
- Phone
- (617) 432-1440
Authorized Official
- Name
- DR. JOHN DA SILVA, DMD
- Title
- MEDICAL DIRECTOR
- Phone
- (617) 432-1440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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