| Pediatric Dental Associates Of Brookline, Pc | |
|
1684 Beacon St Brookline MA 02445-2101 | |
| (617) 232-7100 | |
| Not Available |
| Full Name | Pediatric Dental Associates Of Brookline, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1684 Beacon St, Brookline, Massachusetts |
| Authorized Official Name and Position | John Ficarelli (OWNER) |
| Authorized Official Contact | 6172327100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Associates Of Brookline, Pc 1684 Beacon St Brookline MA 02445-2101 Ph: (617) 232-7100 | Pediatric Dental Associates Of Brookline, Pc 1684 Beacon St Brookline MA 02445-2101 Ph: (617) 232-7100 |
| NPI Number | 1144369109 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144369109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12246 (Massachusetts) | Primary |
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