Organization
NOROC LLC
Active
Other names
GREENLINE DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINNA KACHKA (OWNER/MANAGER)
(781) 640-0915
Entity
Organization
Contact information
Practice address
1223 BEACON ST STE C, BROOKLINE, MA 02446-5332
(781) 640-0915
Mailing address
1223 BEACON ST STE C, BROOKLINE, MA 02446-5332
(781) 640-0915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578976890
NPI NUMBER
MA
Enumeration date
09/30/2022
Last updated
09/30/2022
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