| Southeast Orthodontics | |
|
302 Broadway Unit 6 Raynham MA 02767 | |
| (508) 880-5891 | |
| (508) 802-9050 |
| Full Name | Southeast Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 302 Broadway, Raynham, Massachusetts |
| Authorized Official Name and Position | Brian Richard Gaudreault (PRESIDENT) |
| Authorized Official Contact | 5088805891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Orthodontics 302 Broadway Unit 6 Raynham MA 02767 Ph: (508) 880-5891 | Southeast Orthodontics 302 Broadway Unit 6 Raynham MA 02767 Ph: (508) 880-5891 |
| NPI Number | 1538224696 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538224696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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