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Organization

BEACON DENTAL HEALTH PC

Active
Parent organization
BEACON DENTAL HEALTH PC
Other names
Wollaston Dental Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
BEACON DENTAL HEALTH PC
Authorized official
RISHI SHUKLA (AUTHORIZED ADMINISTRATOR)
(617) 418-6940
Entity
Organization

Contact information

Practice address
628 HANCOCK ST, WOLLASTON, MA 02170-2004
(617) 418-6940
Mailing address
198 TREMONT ST STE 436, BOSTON, MA 02116-4705
(617) 418-6940

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/21/2019
Last updated
10/21/2019
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