| Vagenas Dental | |
|
5 Torrey St Brockton MA 02301-4832 | |
| (508) 586-4276 | |
| (508) 513-1403 |
| Full Name | Vagenas Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5 Torrey St, Brockton, Massachusetts |
| Authorized Official Name and Position | Vasilios Vagenas (OWNER) |
| Authorized Official Contact | 5085864276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vagenas Dental 5 Torrey St Brockton MA 02301-4832 Ph: (508) 586-4276 | Vagenas Dental 5 Torrey St Brockton MA 02301-4832 Ph: (508) 586-4276 |
| NPI Number | 1982076774 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982076774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | X18888 (Massachusetts) | Primary |
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