Provider Demographics
NPI:1902119274
Name:ROBERT GUEN DMD & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ROBERT GUEN DMD & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-232-2700
Mailing Address - Street 1:1035A BEACON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5609
Mailing Address - Country:US
Mailing Address - Phone:617-232-2700
Mailing Address - Fax:617-232-4269
Practice Address - Street 1:1035A BEACON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5609
Practice Address - Country:US
Practice Address - Phone:617-232-2700
Practice Address - Fax:617-232-4269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA138531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty