Organization
OG GROUPS, PLLC
Active
Other names
OG Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVIA GUO (MANAGER OF PLLC)
(617) 510-7650
Entity
Organization
Contact information
Practice address
40 CENTRE ST, SUITE #1, BROOKLINE, MA 02446-2804
(617) 505-6530
Mailing address
40 NOUVELLE WAY, UNIT 944, NATICK, MA 01760-1571
(617) 510-7650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22256
MA
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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