| Braintree Dental Group Llc | |
|
369 Washington St Braintree MA 02184-4705 | |
| (617) 921-6292 | |
| Not Available |
| Full Name | Braintree Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 369 Washington St, Braintree, Massachusetts |
| Authorized Official Name and Position | Richard Miller (PRESIDENT) |
| Authorized Official Contact | 6179216292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braintree Dental Group Llc 369 Washington St Braintree MA 02184-4705 Ph: () - | Braintree Dental Group Llc 369 Washington St Braintree MA 02184-4705 Ph: (617) 921-6292 |
| NPI Number | 1538533195 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538533195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20980 (Massachusetts) | Primary |
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