| Brookline Progressive Dental Team P.c. | |
|
1203 Beacon St Ste 1 Brookline MA 02446-5346 | |
| (617) 232-8113 | |
| Not Available |
| Full Name | Brookline Progressive Dental Team P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1203 Beacon St Ste 1, Brookline, Massachusetts |
| Authorized Official Name and Position | Hyejin Kwak (DIRECTOR) |
| Authorized Official Contact | 6172328113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookline Progressive Dental Team P.c. 1203 Beacon St Ste 1 Brookline MA 02446-5346 Ph: () - | Brookline Progressive Dental Team P.c. 1203 Beacon St Ste 1 Brookline MA 02446-5346 Ph: (617) 232-8113 |
| NPI Number | 1891059036 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 07/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891059036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21553 (Massachusetts) | Primary |
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