Rooted Dental Company Pllc
NPI #1619629177 in Brookline, Massachusetts
Provider Information
- NPI Number
- 1619629177
- Entity Type
- Organization
- Organization Name
- Rooted Dental Company Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 25, 2022
- Last Updated
- Jan 25, 2022
Practice Location
- Address
- 1371 BEACON ST
- City
- Brookline
- State
- Massachusetts
- ZIP Code
- 02446-4905
- Phone
- (617) 566-2734
Authorized Official
- Name
- DR. KHARA C GRESHAM, DMD
- Title
- OWNER
- Phone
- (484) 620-2192
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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