| Metro South Dental Group | |
|
79 Byron Ave Brockton MA 02301-4201 | |
| (781) 492-3389 | |
| Not Available |
| Full Name | Metro South Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 79 Byron Ave, Brockton, Massachusetts |
| Authorized Official Name and Position | Richard Miller (OWNER) |
| Authorized Official Contact | 7814923389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro South Dental Group 79 Byron Ave Brockton MA 02301-4201 Ph: () - | Metro South Dental Group 79 Byron Ave Brockton MA 02301-4201 Ph: (781) 492-3389 |
| NPI Number | 1639612336 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 11/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639612336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20980 (Massachusetts) | Primary |
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