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Organization
VTADENT LLC
Active
Organization
VTADENT LLC
Active
Other names
Greenline Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MINNA KACHKA DDS (DENTIST)
(617) 487-8124
Entity
Organization
Contact information
Practice address
1223 BEACON ST STE C, BROOKLINE, MA 02446-5332
(617) 487-8124
Mailing address
1223 BEACON ST STE C, BROOKLINE, MA 02446-5332
(617) 487-8124
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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