Organization
DENTAL SPECIALTIES OF BROOKLINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYEJIN KWAK D.M.D (DIRECTOR)
(617) 232-8113
Entity
Organization
Contact information
Practice address
1203 BEACON ST STE 1, BROOKLINE, MA 02446-5346
(617) 232-8113
Mailing address
1203 BEACON ST STE 1, BROOKLINE, MA 02446-5346
(617) 232-8113
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21553
MA
Other
Enumeration date
06/24/2012
Last updated
06/24/2012
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