Organization
VIDA DENTAL AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAND SHAIBANI DMD (OWNER)
(617) 501-8885
Entity
Organization
Contact information
Practice address
1051 BEACON ST STE 514, BROOKLINE, MA 02446-5622
(617) 383-5275
Mailing address
1051 BEACON ST STE 514, BROOKLINE, MA 02446-5622
(617) 383-5275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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