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Organization

CITIDENTAL BROOKLINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINA BADAWI (MANAGER)
(617) 817-3312
Entity
Organization

Contact information

Practice address
637 WASHINGTON ST STE 210, BROOKLINE, MA 02446-4579
(617) 566-4420
Mailing address
63 COURT ST, BOSTON, MA 02108-2109
(617) 943-9868

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
Primary
1223P0300X
Periodontics

Other

Enumeration date
05/27/2020
Last updated
05/27/2020
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