| Gabriel Boustani Dmd Pc | |
|
1540 Beacon St Brookline MA 02446-2215 | |
| (617) 738-1950 | |
| Not Available |
| Full Name | Gabriel Boustani Dmd Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1540 Beacon St, Brookline, Massachusetts |
| Authorized Official Name and Position | Gabriel Boustani (PRESIDENT) |
| Authorized Official Contact | 6176404637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Boustani Dmd Pc 140 Greenwood St Newton MA 02459-3013 Ph: () - | Gabriel Boustani Dmd Pc 1540 Beacon St Brookline MA 02446-2215 Ph: (617) 738-1950 |
| NPI Number | 1306235064 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306235064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 21631 (Massachusetts) | Primary |
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