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Organization
BEACON DENTAL HEALTH
Active
Organization
BEACON DENTAL HEALTH
Active
Parent organization
BEACON DENTAL HEALTH
Other names
Chestnut Hill Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON DENTAL HEALTH
Authorized official
RISHI SHUKLA (ADMINISTRATOR)
(617) 418-6940
Entity
Organization
Contact information
Practice address
631 VFW PKWY, CHESTNUT HILL, MA 02467-3656
(617) 418-6940
Mailing address
198 TREMONT ST, SUITE 436, BOSTON, MA 02116-4705
(617) 418-6940
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN21699
MA
Other
Enumeration date
10/01/2016
Last updated
10/01/2016
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