Organization
BROOKLINE DENTURE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERDJ KILADJIAN D.M.D (RESIDENT AGENT)
(617) 738-1232
Entity
Organization
Contact information
Practice address
1842 BEACON ST, BROOKLINE, MA 02445-1930
(617) 738-1232
(617) 730-8482
Mailing address
1842 BEACON ST, BROOKLINE, MA 02445-1930
(617) 738-1232
(617) 730-8482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17049
MA
1223G0001X
General Practice Dentistry
18964
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10426
MA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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