Magda Bolivar Gaul, DMD

NPI #1083765150 in Brockton, Massachusetts

Provider Information

NPI Number: 1083765150
Entity Type: Individual
Name: Magda Bolivar Gaul, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 16, 2007
Last Updated: Nov 15, 2016

Practice Location

Address: 63 MAIN ST
City: Brockton
State: Massachusetts
ZIP Code: 02301-4042
Phone: (508) 559-6699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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