Organization
BEACON DENTAL HEALTH PC
Active
Parent organization
BEACON DENTAL HEALTH PC
Other names
Heller Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON DENTAL HEALTH PC
Authorized official
RISHI SHUKLA (AUTHORIZED ADMINISTRATOR)
(617) 418-6940
Entity
Organization
Contact information
Practice address
682 DEPOT ST STE A, NORTH EASTON, MA 02356-2704
(617) 418-6940
Mailing address
198 TREMONT ST STE 436, BOSTON, MA 02116-4705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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