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Organization
CITIDENTAL CENTER BROOKLINE
Active
Organization
CITIDENTAL CENTER BROOKLINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EYAD SALLOUM DMD (DENTIST)
(617) 874-1511
Entity
Organization
Contact information
Practice address
637 WASHINGTON ST STE 210, BROOKLINE, MA 02446-4579
(617) 874-1511
Mailing address
637 WASHINGTON ST STE 210, BROOKLINE, MA 02446-4579
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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