Individual
DR. BRENO REBOUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., D.SC.
Contact information
Practice address
1463 BEACON ST, APT 34, BROOKLINE, MA 02446-4737
(617) 901-2004
Mailing address
1463 BEACON ST, APT 34, BROOKLINE, MA 02446-4737
(615) 601-2004
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DF11387
MA
Other
Enumeration date
06/30/2010
Last updated
10/09/2018
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