For All Ages Family Dental | |
478 Torrey St Brockton MA 02301-4696 | |
(508) 586-1800 | |
Not Available |
Full Name | For All Ages Family Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 478 Torrey St, Brockton, Massachusetts |
Authorized Official Name and Position | Roula Giannos (PRESIDENT) |
Authorized Official Contact | 6179054395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
For All Ages Family Dental 478 Torrey St Brockton MA 02301-4696 Ph: (508) 586-1800 | For All Ages Family Dental 478 Torrey St Brockton MA 02301-4696 Ph: (508) 586-1800 |
NPI Number | 1205269073 |
---|---|
Provider Enumeration Date | 08/16/2013 |
Last Update Date | 08/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205269073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN21173 (Massachusetts) | Primary |
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