GABRIEL BOUSTANI DMD PC NPI 1306235064

NPI Information

GABRIEL BOUSTANI DMD PC is a periodontics dentist in Brookline, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GABRIEL BOUSTANI DMD PC NPI is 1306235064. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1540 BEACON ST
BROOKLINE, MA
ZIP 02446-215
Phone: (617) 738-1950

The provider's authorized official is Gabriel Boustani .
The authorized official title is President and has the following contact phone number (617) 640-4637.

The enumeration date for this NPI number is 1/20/2015 and was last updated on 1/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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