Gabriel Boustani Dmd PC

NPI #1396209961 in Chestnut Hill, Massachusetts

Provider Information

NPI Number: 1396209961
Entity Type: Organization
Organization Name: Gabriel Boustani Dmd PC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Jan 28, 2019
Last Updated: Jan 28, 2019

Practice Location

Address: 822 BOYLSTON ST STE 200
City: Chestnut Hill
State: Massachusetts
ZIP Code: 02467-2504
Phone: (617) 739-8200

Authorized Official

Name: DR. GABRIEL BOUSTANI, DMD, MSD
Title: PRESIDENT
Phone: (617) 640-4637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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