Organization
NORTHEAST DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT S YOLIN DDS (OWNER)
(617) 730-8989
Entity
Organization
Contact information
Practice address
1842 BEACON STREET, SUITE 302, BROOKLINE, MA 02445-1930
(617) 730-8989
(617) 730-8913
Mailing address
1842 BEACON STREET, SUITE 302, BROOKLINE, MA 02445-1930
(617) 730-8989
(617) 730-8913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9772
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y51489
BCBS OF MA
MA
Enumeration date
05/03/2007
Last updated
08/22/2020
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