| Brookline Dental Associates | |
|
40 Brookline Blvd Havertown PA 19083-3802 | |
| (610) 314-8881 | |
| Not Available |
| Full Name | Brookline Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 40 Brookline Blvd, Havertown, Pennsylvania |
| Authorized Official Name and Position | Samera Mumtaz (OWNER) |
| Authorized Official Contact | 6103148881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookline Dental Associates 40 Brookline Blvd Havertown PA 19083-3802 Ph: (610) 314-8881 | Brookline Dental Associates 40 Brookline Blvd Havertown PA 19083-3802 Ph: (610) 314-8881 |
| NPI Number | 1700331253 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700331253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS037769 (Pennsylvania) | Primary |
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