| NPI | 1962976969 | 
|---|---|
| Doing Business As | BEACON HILL DENTAL ASSOCIATES | 
| Entity Type | Organization | 
| Authorized Contact | NINA GUTIERREZ Office Manager 617-523-1910  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0300X Dentist, Periodontics | 
| Enumeration Date | 2019-01-14 | 
| Last Update Date | 2019-01-14 |