| Brookline Periodontics | |
|
1842 Beacon St Ste 303 Brookline MA 02445-1922 | |
| (617) 734-9494 | |
| (617) 734-6081 |
| Full Name | Brookline Periodontics |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1842 Beacon St Ste 303, Brookline, Massachusetts |
| Authorized Official Name and Position | Amy Gould Weiss (OFFICE MANAGER) |
| Authorized Official Contact | 6177349494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookline Periodontics 1842 Beacon St Ste 303 Brookline MA 02445-1922 Ph: (617) 734-9494 | Brookline Periodontics 1842 Beacon St Ste 303 Brookline MA 02445-1922 Ph: (617) 734-9494 |
| NPI Number | 1669938130 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669938130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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