Dr Breno Reboucas, DDS, DSC | |
1463 Beacon St, Apt 34, Brookline, MA 02446-4737 | |
(617) 901-2004 | |
Not Available |
Full Name | Dr Breno Reboucas |
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Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 1463 Beacon St, Brookline, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154632545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DF11387 (Massachusetts) | Primary |
Entity Name | Trustees Of Boston University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154331916 PECOS PAC ID: 8921070822 Enrollment ID: O20040811000400 |
Mailing Address | Practice Location Address |
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Dr Breno Reboucas, DDS, DSC 1463 Beacon St, Apt 34, Brookline, MA 02446-4737 Ph: (615) 601-2004 | Dr Breno Reboucas, DDS, DSC 1463 Beacon St, Apt 34, Brookline, MA 02446-4737 Ph: (617) 901-2004 |
Dr. Zachary U Kano, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1842 Beacon St, Brookline, MA 02445 Phone: 617-566-5445 | |
Dr. Neda Shah-hosseini, D.M.D., CAGS Dentist Medicare: Medicare Enrolled Practice Location: 1577 Beacon St, Brookline, MA 02446 Phone: 617-734-8599 Fax: 617-739-8452 | |
Dr. Nickolay N Lipetsker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1247a Beacon St, Brookline, MA 02446 Phone: 617-566-5400 Fax: 617-731-1535 | |
Bahar Houshmand, Dentist Medicare: Medicare Enrolled Practice Location: 209 Harvard St, Brookline, MA 02446 Phone: 617-870-6511 | |
Susan Han, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1180 Beacon St, Suite 2b, Brookline, MA 02446 Phone: 617-277-4100 | |
Dr. Audrey Laimins, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1684 Beacon St, Brookline, MA 02445 Phone: 617-232-7100 | |
Linda Park, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1443 Beacon St, Brookline, MA 02446 Phone: 617-232-8222 |