Brighton Dental Group LLC
NPI #1013153048 in Brighton, Massachusetts
Provider Information
- NPI Number
- 1013153048
- Entity Type
- Organization
- Organization Name
- Brighton Dental Group LLC
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Dec 22, 2008
- Last Updated
- Dec 22, 2008
Practice Location
- Address
- 1607 COMMONWEALTH AVE
- Address 2
- SUITE #3
- City
- Brighton
- State
- Massachusetts
- ZIP Code
- 02135-4214
- Phone
- (617) 782-5455
Authorized Official
- Name
- DR. NOPSARAN CHAIMATTAYOMPOL, DMD
- Title
- DIRECTOR
- Phone
- (617) 782-5455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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