Mary Angela Tavares, D.M.D. Valid NPI
Individual provider · Public Health Dentistry · Boston, MA
- NPI
- 1942418223
- Type
- Individual (Type 1)
- Primary specialty
- Public Health Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223D0001X
- License number
- 13809 (MA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-05-18
- Last updated
- 2007-07-08
Practice location
140 Fenway
Boston, MA 02115-3782
(617) 892-8261