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Organization
LONGWOOD DENTAL GROUP
Active
Organization
LONGWOOD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERDJ KILADJIAN DMD (OWNER)
(617) 566-5445
Entity
Organization
Contact information
Practice address
1842 BEACON ST, BROOKLINE, MA 02445-1930
(617) 566-5445
(617) 730-8482
Mailing address
1842 BEACON ST, BROOKLINE, MA 02445-1930
(617) 566-5445
(617) 730-8482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
MA
1223E0200X
Endodontics
—
MA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
MA
1223P0300X
Periodontics
—
MA
1223P0700X
Prosthodontics
—
NULL
1223P0700X
Prosthodontics
—
—
124Q00000X
Dental Hygienist
—
MA
126800000X
Dental Assistant
—
MA
126900000X
Dental Laboratory Technician
Primary
—
MA
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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