| Bristol Dental Group | |
|
336 Pleasant St Brockton MA 02301-3236 | |
| (508) 857-3603 | |
| Not Available |
| Full Name | Bristol Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 336 Pleasant St, Brockton, Massachusetts |
| Authorized Official Name and Position | Thomas Chang (DMD) |
| Authorized Official Contact | 5088573603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Dental Group 336 Pleasant Street Brockton MA 02301 Ph: (508) 857-3603 | Bristol Dental Group 336 Pleasant St Brockton MA 02301-3236 Ph: (508) 857-3603 |
| NPI Number | 1497013437 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 04/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497013437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 17581 (Massachusetts) | Primary |
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