Tavares, Mary Angela
Tavares, Mary Angela is an individual health care provider with primary practice located at 140 Fenway , Boston MA 02115-3782. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Tavares, Mary Angela can be contacted via phone (617) 892-8261.Contact Information
Primary practice address
140 Fenway
Boston MA 02115-3782
Phone: (617) 892-8261
Fax: (617) 892-8431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 13809 | Massachusetts |
Profile Details
| NPI number | 1942418223 |
|---|---|
| LBN Legal business name | Tavares, Mary Angela |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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