Organization
BRILIANT DENTAL OF SALEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN MOGILEVSKY DMD (OWNER DOCTOR)
(617) 669-5588
Entity
Organization
Contact information
Practice address
72 LORING AVE, SALEM, MA 01970-4484
(617) 669-5588
Mailing address
42 WALTHAM ST, WOBURN, MA 01801-5970
(617) 669-5588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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