Longwood Dental Pllc

NPI #1962071100 in Brookline, Massachusetts

Provider Information

NPI Number: 1962071100
Entity Type: Organization
Organization Name: Longwood Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 22, 2021
Last Updated: Jun 22, 2021

Practice Location

Address: 1842 BEACON ST STE 100
City: Brookline
State: Massachusetts
ZIP Code: 02445-1964
Phone: (617) 566-5445

Authorized Official

Name: SABRINA OLIVERO
Title: TEAM LEAD
Phone: (617) 566-5445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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