Organization
BEACON ORTHODONTIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARI N. LISANN D.M.D. (OWNER/DENTIST)
(617) 738-4746
Entity
Organization
Contact information
Practice address
651 WASHINGTON ST STE 100, BROOKLINE, MA 02446-4518
(617) 738-4746
(617) 738-3334
Mailing address
651 WASHINGTON STREET, SUITE 100, BROOKLINE, MA 02446
(617) 738-4746
(617) 738-3334
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16176
MA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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