Organization
GABRIEL BOUSTANI DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL BOUSTANI DMD, MSD (PRESIDENT)
(617) 640-4637
Entity
Organization
Contact information
Practice address
822 BOYLSTON ST STE 200, CHESTNUT HILL, MA 02467-2504
(617) 739-8200
Mailing address
140 GREENWOOD ST, NEWTON, MA 02459-3013
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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