Whalio Doctors

NPI 1033233713

Longwood Dental Group

Organisation Dental Laboratory Technician Brookline, MA

Practice location

Address
1842 Beacon St, Brookline, MA 02445-1930
Phone
(617) 566-5445
Fax
(617) 730-8482

Authorised official

Name
Berdj Kiladjian
Title
Owner
Phone
(617) 566-5445

Registered specialties (8)

Dental Laboratory Technician Primary
Dental Providers Taxonomy 126900000X
Dentist
Dental Providers Taxonomy 122300000X
Endodontics
Dental Providers Taxonomy 1223E0200X
Oral and Maxillofacial Pathology Dentistry
Dental Providers Taxonomy 1223P0106X
Periodontics
Dental Providers Taxonomy 1223P0300X
Prosthodontics
Dental Providers Taxonomy 1223P0700X
Dental Hygienist
Dental Providers Taxonomy 124Q00000X
Dental Assistant
Dental Providers Taxonomy 126800000X

Registry record

NPI
1033233713
Entity type
Organization
NPI issued
19 Mar 2007
Record last updated
11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.