| Peter Brzoza, Llc | |
|
1284 Beacon Street Apt# 202 Brookline MA 02446 | |
| (347) 496-2087 | |
| Not Available |
| Full Name | Peter Brzoza, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1284 Beacon Street, Brookline, Massachusetts |
| Authorized Official Name and Position | Peter Brzoza (OWNER) |
| Authorized Official Contact | 3474962087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Brzoza, Llc 1284 Beacon St Apt# 202 Brookline MA 02446-3788 Ph: (347) 496-2087 | Peter Brzoza, Llc 1284 Beacon Street Apt# 202 Brookline MA 02446 Ph: (347) 496-2087 |
| NPI Number | 1356685275 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356685275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1855670 (Massachusetts) | Primary |
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