| Brockton Dental Group P.c. | |
|
231 Main St Suite #200 Brockton MA 02301 | |
| (508) 588-8338 | |
| (508) 583-8339 |
| Full Name | Brockton Dental Group P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 231 Main St, Brockton, Massachusetts |
| Authorized Official Name and Position | Ghazwan F. Ghazi (PRESIDENT) |
| Authorized Official Contact | 6174623780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brockton Dental Group P.c. 231 Main St. Suite #200 Brockton MA 02301 Ph: (508) 588-8338 | Brockton Dental Group P.c. 231 Main St Suite #200 Brockton MA 02301 Ph: (508) 588-8338 |
| NPI Number | 1760610026 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760610026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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