Organization · Type 2 NPI
Modern Dental Associates, LLC
Dental Clinic/Center · Brookline, MA
NPI number
1083317374
Active
Practice location
1037 Beacon Street Apt 2
Brookline, MA 02446
Mailing address
1037 Beacon Street, Suite 2
Brookline, MA 02446
Other practice locations
- 1037 Beacon St Apt 2, Brookline, MA 02446 · (617) 738-7210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1083317374
Modern Dental Associates, LLC's National Provider Identifier is 1083317374, issued on Mar 24, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Brookline, MA. The record was last updated on Mar 27, 2023.