| Brighton Dental Group Llc | |
|
1607 Commonwealth Ave Suite #3 Brighton MA 02135-4214 | |
| (617) 782-5455 | |
| (617) 782-5452 |
| Full Name | Brighton Dental Group Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1607 Commonwealth Ave, Brighton, Massachusetts |
| Authorized Official Name and Position | Nopsaran Chaimattayompol (DIRECTOR) |
| Authorized Official Contact | 6177825455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighton Dental Group Llc 1607 Commonwealth Ave Suite #3 Brighton MA 02135-4214 Ph: (617) 782-5455 | Brighton Dental Group Llc 1607 Commonwealth Ave Suite #3 Brighton MA 02135-4214 Ph: (617) 782-5455 |
| NPI Number | 1013153048 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 12/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013153048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 20789 (Massachusetts) | Primary |
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