Arch Dental Clinic | |
200 Westgate Dr Suite 2 Brockton MA 02301-1810 | |
(508) 587-5333 | |
Not Available |
Full Name | Arch Dental Clinic |
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Speciality | Dentist |
Location | 200 Westgate Dr, Brockton, Massachusetts |
Authorized Official Name and Position | Ranganayaki Chirumamilla (PRESIDENT) |
Authorized Official Contact | 2143369767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Arch Dental Clinic 200 Westgate Dr Suite 2 Brockton MA 02301-1810 Ph: (508) 587-5333 | Arch Dental Clinic 200 Westgate Dr Suite 2 Brockton MA 02301-1810 Ph: (508) 587-5333 |
NPI Number | 1780009779 |
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Provider Enumeration Date | 02/27/2014 |
Last Update Date | 02/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780009779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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