| Citidental Brookline PLLC | |
|
637 Washington St Ste 210 Brookline MA 02446-4579 | |
| (617) 566-4420 | |
| Not Available |
| Full Name | Citidental Brookline PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 637 Washington St Ste 210, Brookline, Massachusetts |
| Authorized Official Name and Position | Lina Badawi (MANAGER) |
| Authorized Official Contact | 6178173312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citidental Brookline PLLC 63 Court St Boston MA 02108-2109 Ph: (617) 943-9868 | Citidental Brookline PLLC 637 Washington St Ste 210 Brookline MA 02446-4579 Ph: (617) 566-4420 |
| NPI Number | 1255954178 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255954178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (NU) | Secondary |
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
| 1223P0300X | Dentist - Periodontics | (NU) | Secondary |
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