NPI | 1669785994 |
---|---|
Doing Business As | BROOKLINE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | HALEH AZAR Presient/Orthodontist 617-549-7455 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 18008) |
Enumeration Date | 2010-07-15 |
Last Update Date | 2010-07-15 |