Modern Dental Associates, Llc | |
1037 Beacon Street Apt 2 Brookline MA 02446 | |
(617) 738-7210 | |
Not Available |
Full Name | Modern Dental Associates, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1037 Beacon Street Apt 2, Brookline, Massachusetts |
Authorized Official Name and Position | Heather Coubrough (OWNER/DENTIST) |
Authorized Official Contact | 6172567739 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Modern Dental Associates, Llc 1037 Beacon Street Suite 2 Brookline MA 02446 Ph: (617) 738-7210 | Modern Dental Associates, Llc 1037 Beacon Street Apt 2 Brookline MA 02446 Ph: (617) 738-7210 |
NPI Number | 1083317374 |
---|---|
Provider Enumeration Date | 03/24/2023 |
Last Update Date | 03/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083317374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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