Provider Demographics
NPI:1710733324
Name:RB DENTAL , LLC
Entity type:Organization
Organization Name:RB DENTAL , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:APARNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-888-8000
Mailing Address - Street 1:1030 MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-7448
Mailing Address - Country:US
Mailing Address - Phone:617-323-3000
Mailing Address - Fax:617-323-3003
Practice Address - Street 1:1030 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-7448
Practice Address - Country:US
Practice Address - Phone:617-323-3000
Practice Address - Fax:617-323-3003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RB DENTAL , LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental