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Organization

CITIDENTAL CENTER BROOKLINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EYAD SALLOUM DMD (DENTIST)
(617) 874-1511
Entity
Organization

Contact information

Practice address
637 WASHINGTON ST STE 210, BROOKLINE, MA 02446-4579
(617) 874-1511
Mailing address
637 WASHINGTON ST STE 210, BROOKLINE, MA 02446-4579

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/13/2023
Last updated
03/13/2023
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