NPI | 1235145442 |
---|---|
Doing Business As | BROOKLINE DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | S FAHEEM RASOOL Owner 617-734-8599 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA 18801) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
1223P0700X Dentist, Prosthodontics | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2015-02-17 |