| Brookline Periodental Assoc | |
|
1443 Beacon St Brookline MA 02446-4707 | |
| (617) 232-8222 | |
| (617) 277-2027 |
| Full Name | Brookline Periodental Assoc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1443 Beacon St, Brookline, Massachusetts |
| Authorized Official Name and Position | Marilyn Jean Mento (OFFICE MANAGER) |
| Authorized Official Contact | 6172328222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookline Periodental Assoc 1443 Beacon Street Brookline MA 02446 Ph: (617) 232-8222 | Brookline Periodental Assoc 1443 Beacon St Brookline MA 02446-4707 Ph: (617) 232-8222 |
| NPI Number | 1538278510 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538278510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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