Mathi Theva

NPI #1114956315 in Brockton, Massachusetts

Provider Information

NPI Number: 1114956315
Entity Type: Individual
Name: Mathi Theva
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 200 WEST GATE DR
Address 2: SUITE 135 UNIDENT DENTAL CENTER
City: Brockton
State: Massachusetts
ZIP Code: 02301
Phone: (508) 583-3840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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