Organization
BRUSH & FLOSS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD PHILLIP WYSOCKI DMD (OWNER/DENTIST)
(617) 860-8100
Entity
Organization
Contact information
Practice address
2489 WASHINGTON ST, BOSTON, MA 02119
(617) 860-8100
Mailing address
192 WALNUT AVE # 2, BOSTON, MA 02119-1614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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