Organization
BEACON DENTAL HEALTH PC
Active
Parent organization
BEACON DENTAL HEALTH PC
Other names
Columbian Square
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON DENTAL HEALTH PC
Authorized official
RISHI SHUKLA (AUTHORIZED ADMINISTRATOR)
(617) 418-6940
Entity
Organization
Contact information
Practice address
59 COLUMBIAN ST, WEYMOUTH, MA 02190-2414
(617) 967-0246
Mailing address
198 TREMONT ST STE 436, BOSTON, MA 02116-4705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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