| Belmont Periodontics, P.c. | |
|
18 Moore St Suite 300 Belmont MA 02478-2525 | |
| (617) 484-0475 | |
| Not Available |
| Full Name | Belmont Periodontics, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 18 Moore St, Belmont, Massachusetts |
| Authorized Official Name and Position | Diana Bina (BUSINESS MANAGER) |
| Authorized Official Contact | 6174840475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Belmont Periodontics, P.c. 18 Moore St Suite 300 Belmont MA 02478-2525 Ph: (617) 484-0475 | Belmont Periodontics, P.c. 18 Moore St Suite 300 Belmont MA 02478-2525 Ph: (617) 484-0475 |
| NPI Number | 1750328670 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750328670 | NPI | - | NPPES |
| 15531 | Other | MA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 15531 (Massachusetts) | Primary |
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