Fresh Pond Dental Llc

LBN: Fresh Pond Dental Llc
Fresh Pond Dental Llc is an health care organization with primary practice located at 180 Alewife Brook Pkwy , Cambridge MA 02138-1102. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Fresh Pond Dental Llc can be contacted via phone (617) 547-0700, or through Mazo, Andrey via phone (617) 285-6414.

Contact Information

Primary practice address
180 Alewife Brook Pkwy Cambridge MA 02138-1102
Phone: (617) 547-0700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mazo, Andrey
Phone: (617) 285-6414

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 18643 Massachusetts

Profile Details

NPI number 1134496904
LBN Legal business name Fresh Pond Dental Llc
DBA Doing business as
Authorized official Mazo, Andrey
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2011
Last updated Nov 22nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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