Organization
ROOTED DENTAL COMPANY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHARA C GRESHAM DMD (OWNER)
(484) 620-2192
Entity
Organization
Contact information
Practice address
1371 BEACON ST, BROOKLINE, MA 02446-4905
(617) 566-2734
Mailing address
90 PLEASANT ST APT 1, BOSTON, MA 02125-4085
(484) 620-2192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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