| Branca Oral Surgery & Dental Implant Center, P.c. | |
|
104 Tremont St Suite 5 Duxbury MA 02332-4750 | |
| (781) 934-8101 | |
| (781) 934-8187 |
| Full Name | Branca Oral Surgery & Dental Implant Center, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 104 Tremont St, Duxbury, Massachusetts |
| Authorized Official Name and Position | Glenn Andrew Branca (PRESIDENT) |
| Authorized Official Contact | 7819341801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Branca Oral Surgery & Dental Implant Center, P.c. 104 Tremont St Suite 5 Duxbury MA 02332-4750 Ph: (781) 934-8101 | Branca Oral Surgery & Dental Implant Center, P.c. 104 Tremont St Suite 5 Duxbury MA 02332-4750 Ph: (781) 934-8101 |
| NPI Number | 1831534841 |
|---|---|
| Provider Enumeration Date | 05/03/2013 |
| Last Update Date | 05/03/2013 |
| Medicare PECOS PAC ID | 1658505086 |
|---|---|
| Medicare Enrollment ID | O20131017001449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831534841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Massachusetts) | Primary |
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