John Madden DMD

NPI 1689841884 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1689841884
Gender Male
Enumeration Date 05/15/2008
Last Updated 06/25/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1 KNEELAND ST TUSDM
PROSTHODONTICS & OPERATIVE DENTISTRY DEPARTMENT
BOSTON MA, 02111-0000, US
Phone (617) 636-2914
Fax
Business Location
TUFTS SCHOOL OF DENTAL MEDICINE
BOSTON MA, 02111, UM
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State Massachusetts
License Number DL10612
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According to our database, Dr. John Madden DMD NPI is 1689841884, taxonomy code is 390200000X and license number is DL10612, license state is located at Massachusetts. John Madden DMD physically located at 1 Kneeland St Tusdm, Boston MA, 02111-0000. NPI Number John Madden DMD has the Individual type.

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1689841884 NPI number is provided on an as is basis without warranty of any kind. 1689841884 is maintained by the National Plan & Provider Enumeration System. The contents of John Madden DMD are for informational purposes only.