HARVARD DENTAL CENTER NPI 1932309366

NPI Information

HARVARD DENTAL CENTER is a prosthodontics dentist in Boston, MA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. HARVARD DENTAL CENTER NPI is 1932309366. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

188 LONGWOOD AVE
BOSTON, MA
ZIP 02115-819
Phone: (617) 432-1434

The provider's authorized official is Sang Park .
The authorized official title is Prosthodontist and has the following contact phone number (617) 432-2374.

The CLIA number assigned to this NPI record is 22D2117392 - other - dental school with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2007 and was last updated on 7/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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