| Modern Dental Associates, Llc | |
|
1037 Beacon Street Apt 2 Brookline MA 02446 | |
| (617) 738-7210 | |
| Not Available |
| Full Name | Modern Dental Associates, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1037 Beacon Street Apt 2, Brookline, Massachusetts |
| Authorized Official Name and Position | Heather Coubrough (OWNER/DENTIST) |
| Authorized Official Contact | 6172567739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Associates, Llc 1037 Beacon Street Suite 2 Brookline MA 02446 Ph: (617) 738-7210 | Modern Dental Associates, Llc 1037 Beacon Street Apt 2 Brookline MA 02446 Ph: (617) 738-7210 |
| NPI Number | 1083317374 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083317374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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