Organization
BEACON PLACE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PAPADOPOULOS (DENTIST OWNER)
(617) 738-0700
Entity
Organization
Contact information
Practice address
1371 BEACON ST, BROOKLINE, MA 02446
(617) 738-0700
(617) 738-0877
Mailing address
1371 BEACON ST, BROOKLINE, MA 02446
(617) 738-0700
(617) 738-0877
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
13459
MA
1223P0700X
Prosthodontics
Primary
17508
MA
1223P0700X
Prosthodontics
17766
MA
Other
Enumeration date
07/23/2006
Last updated
07/01/2008
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