| Coolidge Corner Dental | |
|
367 Harvard St Brookline MA 02446-2938 | |
| (617) 938-9161 | |
| Not Available |
| Full Name | Coolidge Corner Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 367 Harvard St, Brookline, Massachusetts |
| Authorized Official Name and Position | Samuel Ustayev (PRESIDENT/ DENTIST) |
| Authorized Official Contact | 6179389161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coolidge Corner Dental 32 Traveler St Unit 212 Boston MA 02118-2843 Ph: () - | Coolidge Corner Dental 367 Harvard St Brookline MA 02446-2938 Ph: (617) 938-9161 |
| NPI Number | 1861118721 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861118721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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