Belmont Periodontics, P.c. | |
18 Moore St Suite 300 Belmont MA 02478-2525 | |
(617) 484-0475 | |
Not Available |
Full Name | Belmont Periodontics, P.c. |
---|---|
Speciality | Dentist - Periodontics |
Location | 18 Moore St, Belmont, Massachusetts |
Authorized Official Name and Position | Diana Bina (BUSINESS MANAGER) |
Authorized Official Contact | 6174840475 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Belmont Periodontics, P.c. 18 Moore St Suite 300 Belmont MA 02478-2525 Ph: (617) 484-0475 | Belmont Periodontics, P.c. 18 Moore St Suite 300 Belmont MA 02478-2525 Ph: (617) 484-0475 |
NPI Number | 1750328670 |
---|---|
Provider Enumeration Date | 05/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750328670 | NPI | - | NPPES |
15531 | Other | MA | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 15531 (Massachusetts) | Primary |
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