| Longwood Dental Pllc | |
|
796 Beacon St Newton MA 02459-1935 | |
| (617) 928-9299 | |
| Not Available |
| Full Name | Longwood Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 796 Beacon St, Newton, Massachusetts |
| Authorized Official Name and Position | Walid Beniassa (OWNER) |
| Authorized Official Contact | 6179289299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longwood Dental Pllc 796 Beacon St Newton MA 02459-1935 Ph: (617) 928-9299 | Longwood Dental Pllc 796 Beacon St Newton MA 02459-1935 Ph: (617) 928-9299 |
| NPI Number | 1205405347 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205405347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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