Individual
DR. GARY RONALD LOGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, DMSC.
Contact information
Practice address
209 HARVARD ST, SUITE 402, BROOKLINE, MA 02446-5071
(617) 277-0807
(617) 566-5331
Mailing address
209 HARVARD ST, SUITE 402, BROOKLINE, MA 02446-5071
(617) 277-0807
(617) 566-5331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15516
MA
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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