Organization
CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON DAVID GRUNES DMD (DENTAL RESIDENT)
(617) 355-4426
Entity
Organization
Contact information
Practice address
11 E MILTON RD, APT 2, BROOKLINE, MA 02445-6738
(508) 333-4331
Mailing address
11 E MILTON RD, APT 2, BROOKLINE, MA 02445-6738
(508) 333-4331
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
S17991895
MA
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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